The ADA is urging the Centers for Medicare & Medicaid Services to carefully consider the impact on dentistry as it develops its proposed Comprehensive Regulations To Uncover Suspicious Healthcare, or CRUSH, initiative.
The CRUSH Initiative is a sweeping anti-fraud program launched by CMS. In combating waste, fraud, and abuse, CMS hopes to leverage advanced AI and real-time data analytics to flag and stop suspicious payments across Medicare, Medicaid, and the Health Insurance Marketplace before taxpayer funds leave the system. CMS released a Request for Information (RFI) to solicit stakeholder feedback on additional tools that could be used to combat fraud.
Source: ADA raises concerns about CMS CRUSH initiative proposals affecting dentistry / ADA News