Claims Processing
At UGM25, the EHR giant announced new artificial intelligence models being developed for clinical charting through a collaboration with Microsoft, a patient-facing generative AI chatbot and a revenue cycle management agent.
Innovaccer, Palo Alto Networks, Samsung and others are using artificial intelligence to improve patient access, enhance urgent care and home health with clinical insights, position mobile health data for consumption, and secure agentic AI integrations.
An Advent Health hospital is seeking to order Blue Cross and Blue Shield of Kansas City to pay $2 million for denied claims related to documented diagnoses, and to stop using clinical validation models to deny payments.
Fostering a culture of transparency, accuracy, and respect for patient data may be key to fully realise AI's potential in healthcare, says a healthcare data analyst.
Sharp Community Medical Group and Sharp Healthcare confirmed that patient data was compromised in an attack on the business association earlier this year and the company is sending breach notification letters to its patients.
Several new partnerships are deploying artificial intelligence to drive financial performance: filling underutilized OR schedules, pinpointing revenue leakage and improving medical coding accuracy.
Also: Ambience Healthcare's AI platform is now available in the Microsoft Azure Marketplace.
Almost 20% of healthcare workers polled recently said they spend more than 20 hours per month correcting billing errors. Artificial intelligence can help, but adding automation to billing systems is no easy task.
Cybersecurity In Focus
Even as the number of impacted individuals has been again revised upward, industry leaders say there are silver-lining lessons to learn from the incident about security frameworks, third-party risk and basic cyber hygiene.
The company says in a 46-page detailed argument that Epic sought to deliberately eliminate its ability to gain payer market share and "brazenly doubles and triples down on knowingly false statements about Particle in its motion."