3 ms·

Doctors are using it inappropriately to diagnose and advise treatment on their phones without telling patients. It is being rolled out in all manner of automate

Doctors are using it inappropriately to diagnose and advise treatment on their phones without telling patients. It is being rolled out in all manner of automated classification, huge amounts of behind the scenes healthcare involves manual review of charts for classification purposes that is associated with various streams of funding. Low level employees are turning to general purpose AI to assist with this, leaking data, not understanding how unreliable these tools can be for this. Billing departments are "secretly" using it to "refine" coding. Pretty much all of the dumb irresponsible things you can think of.

jklein11 3y ago
> Billing departments are "secretly" using it to "refine" coding. What does this mean exactly?
- devbytes 3y ago
  When billing any insurance company, all procedures are assigned a "code" to standardize the payment/procedure performed across systems. Some doctor patient visits may fall under multiple codes, so billers will optimize for the highest paying code.
devbytes 3y ago
Ingesting visit notes and having an LLM help determine what billing codes to use seems like a great use of AI in my opinion.
- spcebar 3y ago
  Billing codes are complicated and the rules behind them change frequently. These seem like a case where AI could present a wrong answer with authority—probably a close to correct answer, but one that could cost a patient or practice.
  - devbytes 3y ago
    I'm not saying it should go without human intervention. It could do a great job at selecting the most likely codes and displaying them to the biller.
bespokedevelopr 3y ago
I work in an ED and I see doctors and nurses looking things up on Google and yt daily. Medications and doses are the most common thing I see. It’s not much different than how developers or mechanics diagnose a problem. One instance I observed all the ED providers huddled around a screen watching a yt video for a pediatric patient, we are not a children’s hospital. They all watched then discussed the video before going back out to the pt. I’m sure there should be better documentation available but so much of their jobs is judgement based already. Medical specific trained LLMs are likely to be commonplace in near future for providers based on feedback I’ve gathered.

jklein11 3y ago

> Billing departments are "secretly" using it to "refine" coding. What does this mean exactly?

devbytes 3y ago
When billing any insurance company, all procedures are assigned a "code" to standardize the payment/procedure performed across systems. Some doctor patient visits may fall under multiple codes, so billers will optimize for the highest paying code.

devbytes 3y ago

Ingesting visit notes and having an LLM help determine what billing codes to use seems like a great use of AI in my opinion.

spcebar 3y ago
Billing codes are complicated and the rules behind them change frequently. These seem like a case where AI could present a wrong answer with authority—probably a close to correct answer, but one that could cost a patient or practice.
- devbytes 3y ago
  I'm not saying it should go without human intervention. It could do a great job at selecting the most likely codes and displaying them to the biller.

bespokedevelopr 3y ago

I work in an ED and I see doctors and nurses looking things up on Google and yt daily. Medications and doses are the most common thing I see. It’s not much different than how developers or mechanics diagnose a problem. One instance I observed all the ED providers huddled around a screen watching a yt video for a pediatric patient, we are not a children’s hospital. They all watched then discussed the video before going back out to the pt. I’m sure there should be better documentation available but so much of their jobs is judgement based already. Medical specific trained LLMs are likely to be commonplace in near future for providers based on feedback I’ve gathered.