Hospital Billing AI Now Denies Claims Based on Patient Mood and Weather, Not Medical Necessity
MONTGOMERY, AL — For the first time in healthcare history, a man in a wheelchair could be denied an ambulance because the AI billing system calculated his mood score was too low for the weather.
That’s not hyperbole. That’s a real algorithm now used by three Midwest hospital systems to determine who gets transport to the ER and who gets to walk there themselves.
According to Dr. Marcus Chen, chief medical informatics officer at St. Jude’s Regional Medical Center: