Claims Processing
The Veterans Affairs Office of Information and Technology finds artificial intelligence-driven clinical documentation is helping to solve physician burnout, but the value for benefits administration is yet to be determined.
Digital tools can provide patients with customized payment plans for unexpected bills and treat them with dignity along their financial journey. Ryne Natzke, chief revenue officer at TrustCommerce, a Sphere company, explains how.
Testifying before Congress on Wednesday, UnitedHeath Group CEO Andrew Witty promised that his company has stepped up its cybersecurity efforts after the massive and far-reaching ransomware attack, and pledged to underwrite providers' cashflows as needed.
Researchers proposed that integrating AI with expert knowledge could automate medical coding to enhance billing accuracy and reduce administrative costs, but they found available large language models vague and error-prone.
A surgeon at OrthoCarolina tells the story of implementation of just such a system at his practice, integrated with their Epic EHR – and points the way where artificial intelligence can help, not replace, professional coders.
Patient and plan members' information was reportedly shared through tracking codes on its websites and apps.
Also, Reperio Health partners with Uber to bring preventive care screening kits to homes and workplaces.
Wendell Primus, a Brookings Institution Visiting Fellow, has a plan to help low-income Medicare beneficiaries.
Senators Hawley and Blumenthal asked UnitedHealth Group how Change Healthcare's systems were breached, why the clearinghouse suffered "such an egregious and unexplained outage" and the extent of data compromised in the ransomware attack.
Cybersecurity In Focus
The agency says threat actors are targeting organizations' IT help desks with phone calls from a local area code claiming to be revenue cycle or administrator employees. After gaining access, they divert legitimate payments.