A Game Of Cat & Mouse

Beware the AI bot wars! Health plans are deploying artificial intelligence (AI) to review claims and prior authorizations and issue denials at a 'superhuman pace' while provider organizations are using AI to optimize their billing according to a recent article, Battle Of Hospital AI vs. Insurer AI Is Pushing Medical Costs Higher.

Like all wars, the escalation of the conflict is happening on both sides.;One salvo is the use of AI by hospitals for billing – where AI is identifying more patients meeting the criteria for 'medically complex.';A recent study – Analysis Examines AI In Hospital Billing As . . .