WE’RE NOT THE ONLY ONES TALKING ABOUT THE DOCUMENTATION PROBLEM.
Don’t just take our word for it. Here are some articles from around the industry.
Hospitals have experienced significant increases in insurance claim and prior authorization denials since 2019, potentially driven by insurers' use of AI tools for coverage decisions, according to a report by this Senate subcommittee.
It's hard to nail down exactly when insurance companies began implementing AI tools; they tend to be vague about internal automation processes. But multiple health care and tech leaders who spoke with Newsweek began noticing accelerated claims denials between 2019 and 2020.
A recent publication from Palmetto GBA highlights the fact that laboratory services are among the top service types found to make the highest number of billing errors.
Financial challenges remain a significant concern, with 81% of leaders noting a direct impact on patients, Philips' report reveals.
From beckershospitalreview.com: Researchers at the Icahn School of Medicine at New York City-based Mount Sinai found that large language models were poor medical coders.
From Laboratory Economics: As part of a new 2023 directive, CMS is asking Medicare Administrative Contractors (MACs) to focus payment audits and claim reviews on providers and labs performing definitive drug testing.
Physicians who misuse the "copy-and-paste" feature in patients' electronic health records (EHRs) can face serious consequences, including lost hospital privileges, fines, and malpractice lawsuits.
In the digital age of healthcare, Electronic Health Records (EHRs) have revolutionized the way medical professionals manage patient information. However, amid the myriad benefits, there lurks a practice that has increasingly raised concerns: copy and paste.
Did you know that Changes to Payer Guidelines are always working against your POL or Reference Lab? Changes to payer guidelines can indeed create challenges for doctors when it comes to documenting medical necessity.