Tag: Medical Denials

AI Prior Authorization Denials: Highlights Physician Concerns and Patient Harm

A recent survey conducted by the American Medical Association (AMA) has revealed significant concerns among physicians regarding the use of artificial intelligence (AI) in healthcare, particularly related to AI prior authorization denials. The survey, which included 1,000 practicing primary care physicians and specialists in the United States, highlights the increasing challenges that AI poses to […]
Medicare Advantage Plan Denials

Medicare Advantage Plan Denials: Is That Convoluted or What?

Medicare Advantage Plan contracts are “take-it-or-leave-it” agreements Many questions are swirling about regarding Medicare Advantage Plan (MAP) denials asking what to do about the increasing number and given reasons.  I’ve heard or read some amazing stories where payers have gone to astounding lengths to deny claims.  Answers are also swirling about based on understandings of […]