Axios - Hospitals are increasingly billing health plans for more complex care than they actually provide, according to a new analysis of Blue Cross Blue Shield claims from 2022 to 2025.
The so-called coding intensity swells health care spending, and it corresponds with an increase in hospital use of AI to help document patient visits.
While automated coding can boost productivity, newly billed diagnoses still have to reflect what's actually happening with a patient, according to the analysis from Blue Health Intelligence, which is affiliated with BCBS.
The top 10% percent of hospitals in the study sample drove most of the increases that were detected, with almost 60% of inpatient admissions that could be coded as complex done so at those facilities by the end of March 2025. More
Nautilus - A study finds that weight loss drugs might lead to bone disease like osteoporosis or gout. (Read on NBC News)
No comments:
Post a Comment