BC Advantage - 2023 Issue 6

How to Use AI and Automation to Eliminate Coding Errors

On an annual basis, medical coding and billing errors cost hospitals and health systems upwards of $20B.1 Considering this, ensuring the accuracy and quality of medical coding and billing is essential for robust revenue cycle management and positive cash flow. However, the current state of the healthcare industry and its effects on medical coding and billing make it challenging to maintain high levels of accuracy and quality. Amid staffing shortages, employee burnout, constantly changing payer and CMS guidelines, and the massive amounts of coding updates stemming from the COVID-19 pandemic, coding and billing departments are struggling to...

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