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Payment integrity in the age of AI and value-based care

The rise of AI and value-based care are poising the $9 billion payment integrity industry for change and creating the opportunity to make US healthcare reimbursement more efficient and accurate. ....

Nikhilr Sahni , Andrew Ray , Michael Peterson , Prakriti Mishra , Anne Koffel , Sagar Parikh , Sanjiv Baxi , Jennifer Rost , Greg Gilbert , Amit Shah , Davidm Cutler , Alex Harris , Shubham Singhal , Addie Fleron , Damien Bruce , Brandon Carrus , Oleg Bestsennyy , Shashank Bhasker , Michelle Chmielewski , George Stein , Health Care Payment Learning Action Network , Care Payment Learning , Action Network , Jessica Lamb , Health Care Payment Learning ,

Beyond Cost, Patient Safety and Physician Burnout Should Factor Into AI Decisions in Health Care

Compared with other industries, in the health care space, challenges connected to the use of artificial intelligence (AI) include processing reimbursements and clinical operations.
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Nikhilr Sahni , Brandon Carrus , New England Journal , Mayo Clinic , Lucile Packard Children , Radiology Practices , Health Care Organizations , Clinical Operations ,

Automation, analytics and AI in revenue cycle management

How new advanced technology and a shift in mindset could improve the operations in revenue cycle management. ....

United States , Sherina Ebrahim , Srivalli Harihara , Christopher Handscomb , Daniel Brosseau , Pooja Kumar , Nikhilr Sahni , Shubham Singhal , Edward Levine , Nikhil Sahni , Brandon Carrus , Prakriti Mishra , Davidm Cutler , National Bureau Of Economic Research , National Bureau , Economic Research , Shail Thaker , Leigh Poland ,

Administrative Simplification and the Potential for Saving a Quarter-Trillion Dollars in Health Care

This Viewpoint discusses a new report that describes steps that may be taken in specific areas to simplify administrative functions, reduce administrative spend ....

United States , Prakriti Mishra , Nikhilr Sahni , Centers For Disease , Mental Health Services Administration , Health Resources , National Institutes Of Health , Health Information Exchange , Health Insurance Portability , Congress St , Services Administration , Mckinsey Company , Accountability Act , Medicare Advantage , National Institutes , Substance Abuse , Disease Control , Interest Disclosures , Administrative Simplification , Quarter Trillion Dollars ,