NC Senate looks to restrict AI in healthcare billing, insurance

Source Domain: www.wunc.org

Sen. Amy Galey is sponsoring a bill (House Bill 565) to regulate the use of AI in healthcare billing and insurance to prevent increased costs and denied claims.
Galey’s proposed legislation aims to impose guardrails for both insurance companies and healthcare providers concerning AI-related billing decisions.
The bill intends to ban insurers from denying coverage for treatments based solely on AI reviews and would prevent providers from using AI to upcode services without human approval.
There are concerns that AI is being programmed to increase billing for expensive services without improving patient outcomes, thereby raising overall healthcare costs.
Hospitals and the N.C. Healthcare Association have voiced concerns, suggesting AI can streamline administrative tasks, allowing more time for patient care.
The bill is set for its first Senate committee approval next week following a recent committee hearing.

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