Current Reimbursement Landscape of Artificial Intelligence

George Wu; Colin S. Segovis; Lauren P. Nicola; Melissa M. Chen

doi:10.1016/j.jacr.2023.07.018

Current Reimbursement Landscape of Artificial Intelligence

George Wu, Colin S. Segovis, Lauren P. Nicola, Melissa M. Chen

Neuroradiology

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

One of the biggest hurdles to widespread adoption of new procedures and technology such as artificial intelligence (AI) algorithms is payment and coverage policy. Noninvasive assessment of coronary fractional flow reserve is one AI imaging algorithm that will successfully achieve reimbursement through multiple pathways of CMS payment mechanisms in 2024. CMS is the largest provider of health care in the United States. Understanding how this AI algorithm is paid through the different fee schedules will help to understand the challenges CMS has in paying for new services and innovation in the United States.

Original language	English (US)
Pages (from-to)	957-961
Number of pages	5
Journal	Journal of the American College of Radiology
Volume	20
Issue number	10
DOIs	https://doi.org/10.1016/j.jacr.2023.07.018
State	Published - Oct 2023

Keywords

AI
CPT
HOPPs
new technology APC
reimbursement

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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10.1016/j.jacr.2023.07.018

Cite this

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title = "Current Reimbursement Landscape of Artificial Intelligence",

abstract = "One of the biggest hurdles to widespread adoption of new procedures and technology such as artificial intelligence (AI) algorithms is payment and coverage policy. Noninvasive assessment of coronary fractional flow reserve is one AI imaging algorithm that will successfully achieve reimbursement through multiple pathways of CMS payment mechanisms in 2024. CMS is the largest provider of health care in the United States. Understanding how this AI algorithm is paid through the different fee schedules will help to understand the challenges CMS has in paying for new services and innovation in the United States.",

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KW - new technology APC

KW - reimbursement

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Current Reimbursement Landscape of Artificial Intelligence

Abstract

Keywords

ASJC Scopus subject areas

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