Certain Centers for Medicare and Medicaid Services (CMS) programs require Medicare independent review analysts to be responsible for making final determination efforts for claims where Medicare has funding allocated for coverage.

To make an appropriate determination, a labor-intensive review process is conducted that consists of hours sorting page by page through documents. While the most skilled analysts review these cases, labor-intensive processes do result in mistakes. The article below highlights how J29 is actively working on developing innovative technologies to bring assisted determinations to this niche subject matter.