AI for Medicare Claims: Automatic Processing and Patient Cost Protection Pilot.
This law establishes a three-year demonstration project using Artificial Intelligence to automatically create and submit Medicare Part B claims immediately after a patient-physician encounter. The goal is to streamline billing, reduce administrative errors, and improve the sustainability of Medicare. Crucially, patients participating in the pilot will not be responsible for any cost-sharing if the services are billed incorrectly or are not covered by Medicare Part B.
Key points
A three-year pilot program testing AI technology to automatically generate and submit Medicare Part B claims based on live audio recordings of doctor visits.
Patients are protected from unexpected bills: they are exempt from cost-sharing for services incorrectly billed or not covered during the project.
Claims submitted through this AI platform will be exempt from the standard Medicare Recovery Audit Program.
Expired
Additional Information
Print number: 118_HR_8283
Sponsor: Rep. Schweikert, David [R-AZ-1]
Process start date: 2024-05-07