Inside Health Policy

CMS Eyes AI To Tackle Coding Under ‘CRUSH’ Anti-Fraud Plan

The Centers for Medicare & Medicaid Services (CMS) is evaluating artificial‑intelligence tools to improve the precision of Medicare Advantage coding and hospital billing. The initiative is part of the Trump administration’s proposed CRUSH (Combatting and Reducing Unnecessary Spending and Healthcare fraud) rule, which seeks to tighten anti‑fraud controls across federal health programs. By leveraging AI, CMS hopes to detect coding errors and fraudulent claims more quickly and consistently. The move signals a broader shift toward data‑driven oversight in Medicare and Medicaid operations.