Hospital AI use is causing medical bills to soar, with Blue Cross estimating $1 billion in extra insurance costs
Health AdministrationMedicineFinance
THE AI ANGLE
Finding secondary diagnoses in medical records and auditing insurance claimsHospitals are using AI to scan patient records, which uncovered secondary diagnoses and added nearly one billion dollars to insurance payouts. Insurance reimbursement formulas pay more for higher diagnostic complexity, even though patient treatments did not increase. Insurers now deploy competing AI systems to review and contest these extra claims.
THE TEACHING ANGLE
Hospitals use AI to capture more billable diagnoses, while insurers use AI to question whether those documented conditions warranted higher payouts.Read the original at techradar.com Generate teaching or study materials
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