AI Medical Coding

Empowering Healthcare Careers : An Initiative by the PMBA USA

The Professional Medical Billers Association (PMBA) USA, a leading organization in healthcare training, is proud to introduce its innovative initiative for aspiring medical coding and billing professionals. We're dedicated to equipping you with the essential knowledge, practical skills, and cutting-edge tools to excel in this dynamic field.

Pioneering the Future of Healthcare Education:

We're excited to announce our exclusive partnership with MEDESUN, a cutting-edge provider of AI-powered medical coding and revenue cycle management (RCM) training. This first-of-its-kind collaboration offers you unmatched access to:

Comprehensive coursework: Master medical coding and billing fundamentals, industry-specific regulations, and practical application through real-world case studies.
AI-powered learning: Immerse yourself in interactive simulations and personalized exercises powered by MEDESUN's groundbreaking AI technology.
Expert instructors: Learn from seasoned professionals who actively shape the healthcare landscape, bringing their real-world insights to the classroom.

Transform Your Career with CAIMC^® Certification – The Gateway to Excellence in Medical Coding

According to Next Move Strategy Consulting the market for artificial intelligence (AI) is expected to show strong growth in the coming decade. Its value of nearly 100 billion U.S. dollars is expected to grow twentyfold by 2030, up to nearly two trillion U.S. dollars. A branch of computer science devoted to developing data processing systems that performs functions normally associated with human intelligence, such as reasoning, learning, and self- improvement Ref : Artificial-Intelligence

A clearly specified mathematical process for computation; a set of rules that, if followed, will give a prescribed result.

Sources : NIST SP 800-107 Rev.

White House Office of Science and Technology

The white house office of science and technology - Blueprint for building and deploying automated systems that are aligned with democratic values and protect civil rights, civil liberties, and privacy.

NIST - AI trustworthiness include :

Validity and Reliability
Safety
Security and Resiliency
Accountability and Transparency
Explainability and Interpretability
Privacy
Fairness with Mitigation of Harmful Bias
Blueprint for an AI BILL of Rights
Making Automated Systems Work for the American People

Blue print for AI Bill of Rights :

NIST Risk Management Framework Aims to Improve Trustworthiness of Artificial Intelligence

NIST AI RMF Playbook

NIST AI RMF Playbook ( Click Here to Download)

The goal of the AI RMF is to offer a resource to the organizations designing,developing, deploying, or using AI systems to help manage the many risks of AI and promote trustworthy and responsible development and use of AI systems.

CMS and AI

At CMS, Artificial Intelligence (AI) has the power to reshape the way we use data to make decisions. In fact, because CMS is such a data-rich agency, there is no better place to implement AI technology. To do so responsibly, we must educate our workforce, share knowledge with our partners, follow ethical standards, and experiment with new methodologies.

Ref : Artificial Intelligence at CMS

AI is one of the most powerful technologies of our time. President Biden has been clear that we must take bold action to harness the benefits and mitigate the risks of AI.

The Biden-Harris Administration has acted decisively to protect safety and rights in the age of AI, so that everyone can benefit from the promise of AI.

In November 2023, the Office of Management and Budget (OMB) published for public input a draft policy for the use of AI by the U.S. government. This draft policy would empower Federal agencies to leverage AI to improve government services and more equitably serve the American people.

The document focuses on three main pillars :

Epic and Microsoft announced that we are working together to integrate the generative AI technology in to Electronic health records for the first time Microsoft Blogs.

How 6 hospitals, health systems are using AI to improve patient care

From using artificial intelligence to predict missed appointments to exploring how it can make care more personalized for patients, here is how six hospitals and health systems are using the technology to improve patient care and operational efficiency:

Omaha, Neb.-based CHI Health is using AI to predict missed appointments, identify sepsis risk and detect stroke.

Salt Lake City-based Intermountain Healthcare is developing an AI-powered platform that can help physicians make bedside diagnosis.

Philadelphia-based Jefferson Health is partnering with digital health company Ada Health to implement a new symptom assessment tool on its websites and apps.

Pittsburgh-based UPMC is exploring how it can use AI tools to make care more personalized for patients. For example, the health system has been using AI technology from Abridge that can transcribe patient interactions with physicians.

Durham, N.C.-based Duke Health is working to develop AI-powered cloud technologies for healthcare organizations. The health system will use technology from analytics company SAS to test in a clinical setting.

Peoria, Ill.-based OSF HealthCare is streamlining utilization management workflows using an AI-based platform from XSOLIS.

Trust, but verify

Using AI ignoring HIPAA leads to legal issues

Federal Trade commission - Keep your AI claims in check :

Throughout history, stories of inanimate objects coming to life have captivated our imagination, priming us to believe in the extraordinary capabilities of artificial intelligence (AI). However, the term AI itself is ambiguous, often used in marketing to encompass various technological tools for predictions and decisions. The FTC warns of the overuse and potential misuse of the AI hype in marketing, emphasizing that claims about AI products should be substantiated and aware of the risks involved. False promises or exaggerated capabilities, especially in AI, are subject to scrutiny and require a solid foundation in reality. The FTC advises marketers to be cautious and truthful about what AI can truly achieve.

AHIMA - The Evolution of Coding

Understanding How Technology is Assisting Us Download this whitepaper to discover the innovations powering medical coding from its origins in the 1960s through to today and beyond. Presented by AGS Health

AAPC - Leverage Artificial Intelligence To Optimize RCM

Medical Coders and AI Working Together Technologies, such as computer-assisted solutions, enable medical coders to automate manual processes and have the technology perform a primary review before the human begins the coding work. The computer-assisted solutions are helpful but still require a human coder to use their knowledge, subjectivity, and critical thinking skills to code the medical reports.

PMBA AI