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Health

(8,064 posts)

1. Interestingly, doctors, hospitals, etc., are turning to AI to help avoid denials. That tells me a lot of "denials" are

Sat Jan 25, 2025, 12:36 PM

Jan 25

providers who don't know how to use codes properly or just outright ignore coverage guidelines (which government programs like Medicare and Medicaid have used since inception).

"AI-driven solutions enable healthcare organizations to adopt proactive claim management strategies. Predictive analytics can identify claims at risk of being denied, allowing staff to address potential issues before submission. This reduces the likelihood of denials and accelerates the reimbursement process."

https://www.google.com/search?q=healthcare+providers+turn+to+ai+to+avoid+denials&rlz=1C1CHBF_enUS916US916&oq=healthcare+providers+turn+to+ai+to+avoid+denials&gs_lcrp=EgZjaHJvbWUyBggAEEUYOTIHCAEQIRigATIHCAIQIRigATIHCAMQIRigATIHCAQQIRigATIHCAUQIRigATIHCAYQIRifBdIBCTEwMDU0ajBqN6gCALACAA&sourceid=chrome&ie=UTF-8

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New AI tool counters health insurance denials decided by automated algorithms [View all] cbabe Jan 25 OP