Becker's Healthcare July 15, 2024
What if a denied prior authorization request could be appealed using ChatGPT? It’s an idea being discussed at Grady Health in Atlanta.
“It is possible to take a payer denial letter, load that and payer manuals into a large language model, and use that to draft a cogent and compelling appeal letter using the payer’s own policies,” Murry Ford, vice president of revenue cycle at Grady, told Becker’s.
Mr. Ford was discussing the health system’s prior authorization strategy during a virtual RCM event in June.
He said Grady has been putting more resources into the prior authorization process, leading to a decrease in denial rates. The system is not piloting any ChatGPT-based process that involves personal health information or claims...
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