In the beginning of the year, Dr. Terry Wagner’s office manager came to him and said “something weird is going on.” For weeks, the office manager told him, Wagner had been quietly underpaid by the ...
U.S. physicians routinely are seeing their higher-cost claims downcoded by insurers, a strategy a family physician in Cincinnati called a revenue grab, according to Medscape. Will Sawyer, MD, said ...
Central Illinois Proud on MSN
Bipartisan push by state lawmakers to protect doctors from insurance downcoding
State lawmakers have passed a bill banning the use of AI to mass downcode medical claims and prohibiting insurance companies ...
SPRINGFIELD, Ill. (WAND) — The Illinois Senate Insurance Committee unanimously approved a bill to prohibit insurance companies from using artificial intelligence to code a health service lower than ...
SPRINGFIELD, Ill. (WAND) — A bill in Springfield could prohibit health insurance companies from using artificial intelligence to code a health service lower than what is actually provided to patients.
Emergency medicine (EM) has always been subject to payer scrutiny, but today’s reimbursement pressure is different: it is more aggressive, more automated and less transparent. Across the country, EM ...
The Pennsylvania-based health system claims the payer's policy violates Medicare's two-midnight rule and forces hospitals into a burdensome appeals process. The ongoing friction between hospitals and ...
Illinois bill shields doctors from insurance downcoding ...
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