Generative AI for analysis and identification of Medicare improper payments by provider type and HCPC code

利用生成式人工智能按提供商类型和HCPC代码分析和识别Medicare不当支付

阅读:1

Abstract

The 2022 Medicare Fee-For-Service Improper Payments Report reveals an estimated $80.57 billion in improper payments, with a payment error rate of 15.62%. This paper uses generative AI to analyze and identify which provider types and HCPC codes are most strongly associated with these errors. The paper employs generative AI to produce two Python codes: one generates a time-series trend graph of Medicare improper payments from 2010 to 2022, and the other calculates the number of payment errors by provider type and HCPC code. These codes are designed for novice and non-programmers. Three datasets are used, such as Medicare Fee-for-Service Comprehensive Error Rate Testing dataset released on March 8, 2023, merged codes such as HCPC codes and PCT codes. The result suggests what systems should be improved to reduce Medicare improper payments. Generative AI is being introduced to help novice and non-programmers analyze Medicare improper payments with datasets, aiding researchers in conducting similar tasks in the future.

特别声明

1、本页面内容包含部分的内容是基于公开信息的合理引用;引用内容仅为补充信息,不代表本站立场。

2、若认为本页面引用内容涉及侵权,请及时与本站联系,我们将第一时间处理。

3、其他媒体/个人如需使用本页面原创内容,需注明“来源:[生知库]”并获得授权;使用引用内容的,需自行联系原作者获得许可。

4、投稿及合作请联系:info@biocloudy.com。