I previously noted that electronic health records serve the billers. Perhaps EHRs serve the billers a little too much.
From the Petersen Health Technology Institute:
“Though we are still in the early stages of administrative AI adoption, it has become clear that rapid AI deployment by both providers and health plans to support prior authorization and medical billing transactions risks increasing levels of system activity without reducing costs. Under existing incentive structures, AI automation could increase the volume of prior authorization back-and-forth, rather than making the process more efficient. AI-assisted coding tools could accelerate coding intensity and charge capture, which—even if accurate—would have an inflationary impact on healthcare costs.”
Regarding prior authorization:
“AI may reduce the cost for individual organizations to execute prior authorizations, but it has not reduced overall system-level costs.”
And regarding medical billing:
“Provider deployment of AI is increasing billing intensity and inflating medical spending.”
This was not what we intended. Or maybe it was.
Bredemarket 