Tuesday, May 20, 2025

🚨 Hot Take: If Your Team’s Avoiding AI, Your Revenue’s Leaking

A billing manager told me recently:

"We tried AI coding. Too many errors. We gave up."

That story? It’s way more common than you think.

Across clinics and small practices, AI-powered coding tools are sitting unused. Not because they’re broken—but because the teams using them never trusted them to begin with.

Let’s get real:
Avoiding AI doesn't improve accuracy. It just delays efficiency.

And if your medical coding team avoids automation, you're not playing it safe. You're leaking revenue, burning out your staff, and paying for tech you’re too afraid to use.


⚠️ AI Avoidance: The Hidden Threat to Your RCM

AI avoidance in medical coding looks like this:

  • Coders skipping the tool and doing everything manually

  • Providers clicking “dismiss” on every AI suggestion

  • Admins unsure whether the platform’s even working

  • Denials still piling up, despite paying for automation

This isn't just a workflow problem.
It’s a trust problem.

And when trust is broken, automation backfires.


🧠 What the Experts Say About AI Avoidance

“If your staff avoids AI, they’re not resisting change—they’re resisting poor implementation.”
Dr. Sarah Reiss, Health IT Consultant & former CMIO

“AI that hides behind a black box is destined to be ignored. Explain the ‘why,’ or expect rejection.”
David Lin, Chief Data Officer, MedTech firm

“Once we let coders audit and improve the AI, everything changed. Adoption went up, errors went down.”
Priya Raman, Revenue Integrity Director, Community Health Network


πŸ”§ 5 Tactical Tips to Build AI Trust in Your Workflow

✅ 1. Run an AI Trust Audit

Ask your team:

  • “Do you use the AI daily?”

  • “Do you know why it recommends certain codes?”

  • “When it’s wrong, what do you do?”

If those questions stump them—you’ve got an adoption gap.

✅ 2. Use Transparent AI

Choose tools that show their reasoning. Your team needs to see why a code was suggested—not just what code.

✅ 3. Keep Coders in Control

Don’t force full automation. Let humans override the machine—and track where and why it happens. This builds data-backed trust.

✅ 4. Reward Smart AI Use

Celebrate when AI helps reduce denials, clean up documentation, or catch missed codes—not when it just “runs automatically.”

✅ 5. Do Monthly AI Roundtables

Host 30-minute case reviews. Ask: “What did AI get right? What did it miss?”
This shifts the mindset from fear → collaboration.


🩺 Real Story: When Avoidance Costs More Than AI

One multi-specialty clinic installed a top-rated coding assistant.

Six months later?

  • Usage was down 22% from projected

  • $19,000 worth of visits sat unbilled

  • Staff said it “slowed them down”

Turns out, the AI was flagging missing documentation and incorrect modifiers—but coders didn’t trust it. They ignored the alerts.

πŸ“ˆ After retraining, team-led audits, and real-time feedback loops, usage rose 75%, and backlog cleared in 3 weeks.

The tech didn’t change.
The trust did.


❓FAQ: Real Talk About AI in Medical Coding

πŸ€” What if our coders just don’t trust AI?

That’s normal. Focus on education, transparency, and feedback loops. Don’t force. Build trust gradually.

πŸ€” Is it worth trying AI again if it failed before?

Absolutely—if you pair it with proper training and choose a tool that allows oversight and fine-tuning.

πŸ€” How can I tell if AI is helping?

Track coding accuracy, denied claims, and AI override rates. These tell you whether the system’s improving or being ignored.

πŸ€” Should we aim for full AI automation?

No. Best-in-class practices use hybrid models: AI assists, humans lead. That’s where real ROI happens.


πŸ“š This Week’s Must-Reads on AI and RCM

  1. CMS Guidance on AI in Healthcare
    CMS emphasizes responsible, supervised use of AI in documentation.
    πŸ‘‰ Explore CMS AI strategy | CMS AI Playbook PDF

  2. AMA on Why AI Won’t Replace Coders
    Human oversight remains crucial—even with advanced tools.
    πŸ‘‰ AMA article | AMA AI Policy

  3. 2025 HIMSS AI + RCM Trends Report
    AI adoption is rising—but usage gaps persist without proper onboarding.
    πŸ‘‰ HIMSS25 Trend Report | Wolters Kluwer Highlights


πŸš€ Call to Action: Get Involved

Don’t let bad rollouts or hype fatigue scare you off.
Avoiding AI means missing real gains.

πŸ—£️ Raise your hand.
πŸ’‘ Share your story.
🀝 Join the community.
πŸ“Š Audit your own AI trust gap.
πŸ” Explore smarter tools.
🌱 Help shape what responsible AI looks like in healthcare.

This isn’t just tech. It’s a movement toward smarter, more sustainable revenue cycles.

πŸ‘‰ Get involved. Be the change. Start here. Start smart.


#MedicalBilling #AIinHealthcare #SmartRCM #MedicalCoding #HealthTech2025 #DigitalHealth #AIAvoidance #RCMLeadership #CoderTrust #TechThatWorks #RevenueOptimization #HybridAI #FutureOfCare #AutomateWisely #ShapeTheFuture

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