Medicare denied $16 million in radiology AI claims between 2018 and 2023, rejecting over half submitted.
Key Details
- 1From 2018 to 2023, radiologists submitted 83,392 AI service claims to Medicare.
- 2Of these, 53,857 claims (≈53%) were denied, totaling $16.4 million in rejected payments.
- 3Only 39,535 claims (≈47%) were reimbursed, amounting to $8 million paid to radiologists.
- 4More than 1,200 AI devices are now approved in various medical specialties.
- 5The analysis is the first nationwide, longitudinal review of AI use in Medicare radiology claims.
Why It Matters
These findings highlight ongoing challenges in achieving reimbursement for imaging AI, which can hinder wider clinical adoption. Policy and practice changes may be necessary to streamline integration of AI technology into clinical workflows.
Source
Radiology Business
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