Healthcare IT Today September 16, 2021
Guest Author

The following is a guest article by Pranay Jain, CEO and Co-founder of Enterprise Bot.

The Health Insurance Portability and Accountability Act (HIPAA) was introduced in 1996 mainly to help migrate insurance coverage details of employees between organizations, prevent insurance fraud, reduce wastage of medical resources and eliminate improper payments. 

In a study by the Centers for Medicare and Medicaid Services (CMS), it was observed that over 8% of all healthcare payments were improper in 2018 alone.

To reduce all forms of erroneous payments, CMS introduced a testing practice known as Comprehensive Error Rate Testing (CERT). The methodology employs engineered AI algorithms and Predictive Analytics to detect fraudulent healthcare payments and other forms of payment-related errors. By doing so, the...

Today's Sponsors

ZeOmega
Holon
Transcarent

Today's Sponsors

Crossover Health
Qure4u

Today's Sponsor

Institute for Healthcare Improvement

 
Topics: AI (Artificial Intelligence), Govt Agencies, HIPAA, Patient / Consumer, Provider, Technology, Voice Assistant
AI tool pairs protein pathways with clinical side effects, patient comorbidities to suggest targeted COVID treatments
AI and APIs Team Up to Solve Provider Directory Problem for Patients
Can Predictive AI Fully Inform Patient Care Decisions?
AI will improve healthcare, but doctors and patients need legal safety net - Baylor College of Medicine News
Report: 80% of consumers prefer to speak with AI to avoid long hold times