{"id":2155,"date":"2024-11-24T15:39:00","date_gmt":"2024-11-24T15:39:00","guid":{"rendered":"https:\/\/medical-article.com\/?p=2155"},"modified":"2024-11-24T15:39:00","modified_gmt":"2024-11-24T15:39:00","slug":"how-payers-are-using-ai-to-deny-claims-and-dent-provider-revenue","status":"publish","type":"post","link":"https:\/\/medical-article.com\/?p=2155","title":{"rendered":"How Payers are Using AI to Deny Claims and Dent Provider Revenue"},"content":{"rendered":"<p><a href=\"https:\/\/medcitynews.com\/2024\/11\/how-payers-are-using-ai-to-deny-claims-and-dent-provider-revenue\/\"><\/a><\/p>\n<p>While AI has the potential to streamline processes, its current use in the revenue cycle is resulting in more claim denials, payment delays, and a greater need for appeals, particularly because payers often use AI to retroactively review medical necessity determinations.<\/p>\n<p>The post <a href=\"https:\/\/medcitynews.com\/2024\/11\/how-payers-are-using-ai-to-deny-claims-and-dent-provider-revenue\/\">How Payers are Using AI to Deny Claims and Dent Provider Revenue<\/a> appeared first on <a href=\"https:\/\/medcitynews.com\/\">MedCity News<\/a>.<\/p>","protected":false},"excerpt":{"rendered":"<p>While AI has the potential to streamline processes, its current use in the revenue cycle is resulting in more claim denials, payment delays, and a greater need for appeals, particularly because payers often use AI to retroactively review medical necessity determinations. The post How Payers are Using AI to Deny Claims and Dent Provider Revenue&#8230;<\/p>\n","protected":false},"author":0,"featured_media":2156,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-2155","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicine"],"_links":{"self":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts\/2155"}],"collection":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2155"}],"version-history":[{"count":0,"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts\/2155\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/media\/2156"}],"wp:attachment":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2155"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2155"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2155"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}