Yves here. This article tallies not only the typical cost increases for employees and employers by company size, and the nosebleed level increases expected for next year, but also cites some of the big drivers. One is AI, which is assisting hospitals and medical groups in more better upcoding.
Why upcoding is not considered fraud and prosecuted vigorously is beyond me. Electronic health records are design not to be edited by the practitioner after the fact, so it would be fairly easy to get information in discovery that would enable attorneys general to compare the codes used for billing to the ones originally submitted.
By Julie Appleby . Originally published at KFF Health News
Rising healthcare costs aren’t a problem just for those who buy their own health insurance.…