How AI is Becoming a Staple in Medical Coding, Auditing

Published: Mon, 03/25/24

Link to all things medical coding & billing

How AI is Becoming a Staple in Medical Coding, Auditing

Troves of data flow through the healthcare revenue cycle. Yet, many providers struggle to make sense of the codes and clinical documentation to not only submit clean claims but also understand patient encounters that occur within their organizations.

Medical coding and clinical documentation are ripe...

How AI is transforming medical coding for physicians and coders

Revenue cycle management performance has never been more important. And recent advances in technology, particularly artificial intelligence, offer much potential for healthcare's administrative functions. The RCM function could lay the foundation to harness technology to contribute to better hospital and health system performance, said Jay Aslam...

CMS extends MIPS deadline to April 15 amid fallout of Change cyberattack

Due to ongoing concerns with the impact the Change Healthcare cybersecurity attack is having on physician practices, the Centers for Medicare and Medicaid Services (CMS) has extended the 2023 MIPS data submission deadline until April 15. Notably, this attack on our nation’s health care...

Artificial Intelligence Audits Are Happening Now

Healthcare providers are starting to see the first claim audits based on analysis and determinations made by artificial intelligence (AI). Although the technology is new, many of the issues remain the same. Especially when the companies that develop AI-based audit tools sell these tools and services to commercial...

The Truth About Hospital Star Ratings and What Every HIM Professional Needs to Know

The Star Rating program for hospitals summarizes quality information on important topics, like readmissions and mortality, after admissions for conditions such as myocardial infarction (MI) or pneumonia. The overall ratings are assigned by the Centers for Medicare & Medicaid Services (CMS) and range between one and five stars, outlining a...

AMA Future of Health: The Emerging Landscape of Augmented Intelligence in Health Care

The AMA is committed to ensuring that the evolution of augmented intelligence (AI) in medicine benefits patients, physicians and the health care community by leading the way.

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