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Hospital use of artificial intelligence (AI) to automate documentation and billing may be contributing to higher claims costs through increased coding intensity, according to an analysis of Blue Cross Blue Shield (BCBS) claims data over three years. About $663 million in inpatient spending was linked to use of AI-powered coding tools, and at least $1.67 billion in outpatient spending was linked to more aggressive coding practices, the report stated.

The analysis examined commercial inpatient claims from a subset of BCBS plans representing approximately 62 million members over a three-year period ending in March 2025. The focus was . . .

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