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Category: Insurance

Pritzker signs downcoding regulation, other health bills

Health insurers would be banned from using artificial intelligence for a billing practice where a procedure or service is billed at a lower level than what was actually provided under a new law signed by Gov. JB Pritzker.
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ISMS finds members struggle with downcoding practices

As Illinois considers regulations on the use of artificial intelligence for an insurance billing practice where a procedure or service is billed at a lower level than what was actually provided, a new report from the state’s medical society said it has been a frequent issue for its members.
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