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
Related News
•AuntMinnie
Comparing False-Positive Findings: AI vs. Radiologists in DBT Screening
AI and radiologists differ in the types and patient characteristics of false-positive findings in digital breast tomosynthesis breast cancer screening.
•Radiology Business
Google's Gemini Outperforms Providers in Communicating IR Procedures
Large language models like Google's Gemini demonstrate higher accuracy and greater empathy than human providers when answering patient questions about interventional radiology.
•AI in Healthcare
FDA Seeks Real-World Performance Insights on AI Medical Devices
FDA calls for healthcare worker feedback to enhance monitoring of AI-enabled medical devices in real-world settings.