For the research, Mount Sinai's Icahn School of Medicine evaluated the potential application for large language models in healthcare to automate medical code assignments – based on clinical text – for ...

Some limits on how the assessments are used for adding new diagnosis codes might be justified to ensure Medicare Advantage plans aren’t overpaid, researchers wrote. Under MA, insurers contract with ...

BOT or NOT? This special series explores the evolving relationship between humans and machines, examining the ways that robots, artificial intelligence and automation are impacting our work and lives.

The Copenhagen-based health AI company built Symphony on peer-reviewed research from the largest medical coding study of its kind, treating coding as a reasoning task rather than a labelling problem.

Since last summer, health insurers have been telling investors that hospitals’ use of artificial intelligence tools for medical coding and billing is driving up the cost of health care. Insurers claim ...

Veronica Beagle is the managing editor for Education at Forbes Advisor. She completed her master’s in English at the University of Hawai‘i at Mānoa. Before coming to Forbes Advisor she worked on ...

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 ...