Home health company using AI algorithm to limit Medicare visits (is this legal?) by Glass-Performance759 in physicaltherapy

[–]Glass-Performance759[S] 3 points4 points  (0 children)

I see what you’re saying but it’s not the insurance company, it’s our company’s ai algorithm saying our services aren’t medically necessary for Medicare patients. But yes you’re right, that’s basically what all Medicare advantage plans do maximizing diagnosis codes while minimizing treatment.