HEDIS rates from claims alone ran 20 points below chart-reviewed rates, Medicare claims found 2% smokers where the survey found 10%, and only 3% of documented suicidal ideation ever received a code.
This is interesting. I left coding at the start of Covid. At the time I was coding the Emergency Department about 75% of my time. Of accounts I reviewed in the 3-4 months leading up to Covid Declared as a health emergency about 70 percent of cases which could not or did not receive a flu or RSV diagnosis had flu like systems. After I left the hospital, they started an AI coding program and the coders were going to Audit the AI Coding for accuracy. As I am not there I don't know the results. I do know when I took the Risk Management Course and got credentialed I was told, there was no need for me to have done this, though without this knowledge I could not have coded correctly and would have been personally dinged in an audit.
I imagine more hospitals in the US have now completed or reached the end of their study periods testing AI. It will be interesting to see those results. Luckily for computers they cannot be whipped for not coding fast enough to meet demand.
Thanks for sharing this, Sara. That's exactly the pattern: the diagnosis is right there in the note and the code never lands. I'd love to see those audit results too. My bet is AI coding works best with a coder like you still reviewing it.
This is interesting. I left coding at the start of Covid. At the time I was coding the Emergency Department about 75% of my time. Of accounts I reviewed in the 3-4 months leading up to Covid Declared as a health emergency about 70 percent of cases which could not or did not receive a flu or RSV diagnosis had flu like systems. After I left the hospital, they started an AI coding program and the coders were going to Audit the AI Coding for accuracy. As I am not there I don't know the results. I do know when I took the Risk Management Course and got credentialed I was told, there was no need for me to have done this, though without this knowledge I could not have coded correctly and would have been personally dinged in an audit.
I imagine more hospitals in the US have now completed or reached the end of their study periods testing AI. It will be interesting to see those results. Luckily for computers they cannot be whipped for not coding fast enough to meet demand.
Thanks for sharing this, Sara. That's exactly the pattern: the diagnosis is right there in the note and the code never lands. I'd love to see those audit results too. My bet is AI coding works best with a coder like you still reviewing it.
I am not coding anymore, but yes, that is what they are doing.