Artificial Intelligence Audits Are Happening Now

Published: Mon, 03/11/24

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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.

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.

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