ICD-10 & Coding

A principle-based approach to AI adoption emphasises risk management and privacy and security, among others, says the Health Information Management Association of Australia.

The Oregon health system's coder workload has been reduced by nearly 28%, while coding-related denials for autonomously coded radiology cases are now 70% lower than those managed manually. The automated denial rate is also substantially lower.

Northern Health in Melbourne has replaced its legacy system with AI-assisted coding.

It can help coders "work faster and perform better," says one AI and RCM expert. "Imagine that kind of potential across an entire revenue cycle."

"Medicare is a trend setter. By legitimizing these treatments within the Medicare system, it sets a precedent for other insurers to follow suit, potentially transforming the landscape of mental healthcare delivery," Digital Therapeutics Alliance CEO says.

The update covers a range of healthcare focus areas, including diagnostics, medical devices, public health reporting, social determinants of health and various assessments.

The panel likely needs more data and a decision on what constitutes a good form of engagement in order to make an informed decision on the proposed changes to the CPT code language for RPM reimbursement, one expert says.

This marks the Australian company's expansion into Saudi's private health sector after cementing its presence in its public health system.

If the CPT Editorial Panel approves new changes and Medicare and private payers follow suit, providers that expand their remote patient monitoring programs to fit the new codes will gain the most benefits for their patients and clinics.

Autonomous medical coding has been viewed as the province of large academic medical centers that could afford to experiment with cutting-edge technology. Today it is starting to be viewed as a necessary tool for all health systems.