BCBS study hospital billing reveals AI-driven coding boosts maternity costs by billions, impacting insurers and employers nationwide.

A new data analysis from Blue Cross Blue Shield shows how AI coding may be driving up the cost of health care.

Some limits on how the assessments are used for adding new diagnosis codes might be justified to ensure Medicare Advantage plans aren’t overpaid, researchers wrote. Under MA, insurers contract with ...

Differential coding in MA plans results in higher risk scores and increased payments compared to TM, with significant insurer variation. UnitedHealth Group's risk scores were significantly higher than ...

State-of-the-art artificial intelligence systems known as large language models (LLMs) are poor medical coders, according to researchers at the Icahn School of Medicine at Mount Sinai. Their study, ...

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