Differential coding in MA plans results in higher risk scores and increased payments compared to TM, with significant insurer variation. UnitedHealth Group's risk scores were significantly higher than ...
BiLSTM, an ICD-11 automatic coding model using MC-BERT and label attention. Experiments on clinical records show 83.86% ...
The researchers found that clinician use of an AI scribe reduced burnout, decreased the amount of time spent generating ...
A Rand study published Dec. 3 reveals that from 2011 to 2019, hospitals in five states significantly increased the frequency of documenting patients as requiring the highest intensity care, resulting ...
A new study suggests "upcoding" practices are growing across outpatient service lines. The report, compiled by researchers at Trilliant Health, found that the share of visits that were coded at higher ...