AMA: AI needs governance policies prior to adoption and physician input on the front-end

Published: Tue, 12/05/23

Link to all things medical coding & billing

AMA: AI needs governance policies prior to adoption and physician input on the front-end

When American Medical Association president Dr. Jesse Ehrenfeld takes the stage in San Diego this month during the HIMSS’ AI in Healthcare Forum, he brings AMA principles for augmented intelligence development, deployment and use that were worked out as he began his tenure leading the national physician organization.

AMA issues principles for guiding AI development and use

Amid the rapid growth of what it calls “augmented intelligence” (AI) in health care, the American Medical Association (AMA) has issued a set of principles to channel the technology’s development and use in ways that maximize its benefits and minimize potential harm to patients and clinicians.

Hospitals want CMS to correct MA plan policies on coverage

The American Hospital Association is asking the Centers for Medicare and Medicaid Services to crack down on Medicare Advantage insurers it says are blatantly flaunting CMS coverage rules.

United Healthcare’s Medicare Advantage and the Two-Midnight Rule

Well, I suppose I have given you enough of a break from my writing about Medicare Advantage (MA) plans and the Two-Midnight Rule. Last week, United HealthCare (UHC) released its coverage summary for hospital care for patients with UHC Medicare Advantage.

Beware: Recent Changes to MDS Could Cause Audits

Recent changes to the minimum data set (MDS) assessment and recent audit activity targeting skilled nursing facilities (SNFs) appear to be an emerging issue. As a reminder, the MDS assessment is a standardized assessment used in SNFs and some swing-bed facilities to capture administrative and...

Feds propose rule changes for No Surprises Act

Federal policy makers aim to revise the billing dispute resolution process in the No Surprises Act (NSA). The administration of President Joe Biden and the U.S. Departments of Health and Human Services (HHS), Labor, and Treasury, and the U.S. Centers for Medicare & Medicaid Services (CMS) announced a draft rule to change the independent dispute...

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