Retrieving Billions in Overpayments by CMS

Retrieving Billions in Overpayments by CMS

Amid swirling accusations that Medicare Advantage Organizations (MAOs) are overbilling the U.S. government and calls for better oversight, the Centers for Medicare & Medicaid Services announced in early February that it would investigate overbilling by those plans. They expect to recoup 4.7 billion dollars through this program.
This article focuses on the relatively young technologies that enable CMS to uncover overbillings, whether they be errors or fraud. The article is based on an interview with Kel Pults, chief clinical officer and vice president of MediQuant. A future article will explain how Medicare Advantage plans are trying to improving data collection and reporting,…

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VinBrain harnesses Stanford data to improve radiology AI

VinBrain harnesses Stanford data to improve radiology AI

Vietnamese healthcare AI developer VinBrain has started a new partnership with Stanford University to enhance AI medical imaging.Based on their latest data use agreement, Stanford will initially provide VinBrain access to about 240,000 anonymised medical images and reports to train and test the AI on its DrAid clinical decision support platform while also helping improve the accuracy of an information extracting method for structuring radiology reports called RadGraph.
WHY IT MATTERS
According to VinBrain, its latest partnership with Stanford aims to enhance efficiency in radiology reports while “tackling complexity, ambiguity, and limitations in medical image interpretation.”
Through Stanford’s support, the company will be able…

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