Ingabe i-AI izothatha indawo yabaQoqisi beMithi?

Ingabe i-AI izothatha indawo yabaQoqisi beMithi?

Impendulo emfushane:
I-AI ngeke ithathe indawo yabahleli bekhodi bezokwelapha ngokugcwele, kodwa izoshintsha indlela umsebenzi owenziwa ngayo. Uma imibhalo ijwayelekile futhi ihlelekile, i-AI ingathwala izinyathelo eziphindaphindwayo; lapho amacala eyinkimbinkimbi, ephikiswana, noma ehlolwa, ukwahlulela komuntu kuhlala kusemqoka. Indima iyashintsha ngaphambi kokuba inani labasebenzi linyamalale.

Izinto ezibalulekile okufanele uzicabangele:

Ukuzenzakalela komsebenzi : I-AI ithatha umsebenzi wokubhala ikhodi ophindaphindwayo, idala isikhala sokubuyekezwa okunzima kokwahlulela kanye nokuphathwa okuhlukile.

Ukuzibophezela kwabantu : Ababhali bekhodi bahlala beyiqembu elinomthwalo wemfanelo lapho kuvela imibuzo yokuhlolwa kwezimali, izikhalazo, ukwenqatshwa, noma yokuthobela imithetho.

Ukuguquka kwezindima : Izindima zokubhala ikhodi zithambekele ekucwaningweni kwamabhuku, i-CDI, ukuphathwa kokuphika, ukuchazwa kwenqubomgomo, kanye nokubusa.

Ukuphathwa kwezingozi : Ukubhala ikhodi ngokushesha kungakhuphula ingozi yokuthobela imithetho uma isivinini sidlula izinga lokuqapha kanye nokubuyekezwa kwabantu kuncipha.

Ukuqina komsebenzi : Ubuchwepheshe bokuqondisa, ukushelela kwenqubomgomo yabakhokhi, kanye nokuqina kokuhlola kuhlala kuqinile, amakhono adingeka kakhulu.

Ingabe i-AI izothatha indawo yabaQoqisi beMithi? I-Infographic.
Izihloko ongase uthande ukuzifunda ngemva kwalesi:

🔗 Indlela ikhodi ye-AI ebukeka ngayo empeleni
Bheka izibonelo zekhodi ekhiqizwe yi-AI nokuthi yini ongayilindela.

🔗 Amathuluzi okubuyekeza ikhodi ye-AI angcono kakhulu ukuze uthole ikhwalithi engcono
Qhathanisa amathuluzi aphezulu abamba amaphutha futhi athuthukise ukubuyekezwa.

🔗 Amathuluzi e-AI angcono kakhulu angenakhodi ongawasebenzisa ngaphandle kokufaka ikhodi
Sebenzisa imisebenzi ehlakaniphile ngamathuluzi e-AI—akukho ukuhlela okudingekayo.

🔗 Kuyini i-quantum AI nokuthi kungani kubalulekile
Qonda izisekelo ze-quantum AI, izimo zokusetshenziswa, kanye nezingozi ezibalulekile.

Ingabe i-AI izothatha indawo yabaQoqisi beMithi? Kusho ukuthini ukuthi “ukufaka esikhundleni” empeleni 🤔

Uma abantu bebuza ukuthi “Ingabe i-AI izothatha indawo yama-Medical Coders?” bavame ukusho okunye kwalokhu:

  • Shintsha inani labasebenzisi - kudingeka amakhodi ambalwa jikelele

  • Shintsha imisebenzi - umsebenzi uyashintsha kodwa amakhodi ayahlala

  • Buyisela umthwalo wemfanelo - I-AI yenza izingcingo zokugcina futhi abantu bamane babukele

  • Shintsha izindima zezinga lokuqala - ipayipi liyashintsha kuqala 😬

Ngokwami ​​ukubona amaqembu esebenzisa okuzenzakalelayo, ushintsho olukhulu kakhulu akuvamile ukuthi “abafaki bekhodi banyamalale.” Kufana kakhulu nokuthi:
ukufaka ikhodi okuvamile kuyashesha , amacala onqenqema ayakhula , futhi ukuhlola kuba yisithunzi sawo wonke umuntu isikhathi esigcwele . ( I-OIG - Isiqondiso Sohlelo Lokuthobela Umthetho Jikelele )

I-AI inhle kakhulu ekuphindaphindeni. Ukubhala ikhodi akusikho ukuphindaphinda kuphela. Ukubhala ikhodi kuwukuphindaphinda kanye nokwahlulela kanye nokuthobela imithetho kanye nokungajwayelekile komkhokhi kanye nokuxazulula izimfihlakalo "kungani lokhu kusenothini". 🕵️♀️

Ngakho-ke yebo, i-AI ingathatha indawo yezingxenye zomsebenzi. Ukushintsha umsebenzi ngokuqondile kuyisilwane esihlukile.

Yini eyenza inguqulo enhle yokubhala ikhodi yezokwelapha ye-AI? ✅

Uma sikhuluma “ngenguqulo enhle” ye-AI yokwenza amakhodi kwezokwelapha, akuyona leyo enezikhangiso ezikhazimulayo kakhulu. Yileyo eziphatha njengomuntu osebenza naye oqinile ongesabi, ongacabangi izinto ezingabonakali, futhi okhombisa umsebenzi wakhe. ( NIST AI RMF 1.0 , NIST Generative AI Profile (AI 600-1) )

Uhlelo oluhle lokubhala amakhodi lwe-AI (noma umsebenzi) luvame ukuba nalokhu:

  • I-NLP enamandla yezokwelapha ephatha amanothi angalawuleki (ukubiza, amathempulethi, i-spaghetti yokukopisha nokunamathisela 🍝)

  • Iziphakamiso zekhodi ezinesizathu (hhayi ikhodi nje kuphela - kodwa kungani)

  • Ukuthola amaphuzu okuzethemba ngemingcele ongayilungisa

  • Izindlela zokuhlola ukuthobela imithetho kanye nempendulo yabakhokhi ( CMS MLN909160 - Izidingo Zemibhalo Yerekhodi Lezokwelapha )

  • Ukuqondanisa imithetho kanye neziqondiso (ICD-10-CM, CPT, HCPCS, ukuhlela kwe-NCCI, izinqubomgomo zokukhokha… yonke isekisi 🎪) ( CMS FY 2026 ICD-10-CM Codeing Guidelines , ukuhlela kwe-CMS NCCI )

  • Ilawula i-Human-in-the-loop ukuze abafaki bekhodi bakwazi ukwamukela, ukuguqula, noma ukwenqaba ( NIST AI RMF 1.0 )

  • Ukuhlanganiswa okungaphazamisi usuku lwawo wonke umuntu (i-EHR, i-encoder, i-CAC, uhlelo lokukhokha)

Uma ithuluzi lingakwazi ukuzichaza, alithathi indawo yanoma yini ngokuphephile. Limane nje lidala ukukhathazeka ngokushesha. ( Iphrofayili ye-NIST Generative AI (AI 600-1) )

Ithebula Lokuqhathanisa: izinketho zokufaka ikhodi ezisiza nge-AI eziphezulu (nokuthi zifanelana kuphi) 📊

Ngezansi kunethebula lokuqhathanisa elisebenzayo lezindlela ezivamile zokufaka ikhodi ezisizwa yi-AI. Akukuhle ngokuphelele... ngoba akukho okunye okusebenzayo.

Ithuluzi / Indlela Kuhle kakhulu kubabukeli Intengo Kungani kusebenza (futhi okucasulayo)
I-CAC ene-NLP (Ukubhala Amakhodi Okusizwa Yikhompyutha) Isibhedlela HIM + amaqembu eziguli ezilaliswe esibhedlela $$$$ Kuhle kakhulu ekuvezeni amakhodi e-ICD-10-CM angaba khona; kungaba nephutha ngokuzethemba ezimweni ezithile ( AHIMA – I-Computer-Assisted Coding Toolkit )
I-Encoder eneziphakamiso ze-AI Ababhali bekhodi abangochwepheshe asebevele beyazi imithetho $$-$$$ Ishesha ukusesha futhi ikhuthaze ukuhlela; isadinga ubuchopho, ngiyaxolisa 😅
Imithetho + ukuzenzekela (ukuhlelwa, amaqoqo, ukuhlola) Umjikelezo wemali engenayo + ukuthobela imithetho $$ Ubamba amaphutha asobala; "akaqondi" imininingwane yezokwelapha ( ukuhlelwa kwe-CMS NCCI )
Izifinyezo zemibhalo yesitayela se-LLM Ukubambisana kwe-CDI + nokubhala amakhodi $$ Kusiza ukufingqa nokugqamisa ukuxilongwa; kungaphuthelwa imininingwane ebalulekile… njengekati elingalinaki igama lalo ( Iphrofayili ye-NIST Generative AI (AI 600-1) )
Ukuthwebula ngokushaja okuzenzakalelayo + izihlungi zesimangalo Imisebenzi yokulaliswa esibhedlela/yochwepheshe $$-$$$$ Kusiza ekunciphiseni ukwenqatshwa; ngezinye izikhathi kukhuhla kakhulu futhi kwehlise ijubane lokukhipha ( Uhlelo lwe-CMS CERT )
Amamodeli akhethekile (i-radiology, indlela, i-ED) Ama-niches aphezulu $$$$ Ukunemba okungcono emizileni emincane; ngaphandle komzila kuyaphambuka kancane
Umsebenzi wokusebenza komuntu kanye ne-AI “wokubhala amakhodi amabili” Amaqembu enza izinto zibe zesimanje ngaphandle kwesiphithiphithi $-$$$ Indawo emnandi; idinga ukuqeqeshwa + ukubusa noma iyashintshashintsha ( NIST AI RMF 1.0 )
Imizamo ephelele yokubhala ikhodi "engathinteki" Abaphathi abathanda amadeshibhodi $$$$$ Ingasebenza ezimweni ezilula; amacala ayinkimbinkimbi asabuyela kubantu (kuyamangaza!) ( AHIMA – Ithuluzi Lokubhala Amakhodi Elisizwa Yikhompyutha )

Uyayibona iphethini? Uma uzama ukuba “ongathinteki” kakhulu, kulapho uzodinga khona ukuphatha okwengeziwe ukuze ugweme inkinga yokuthobela imithetho ngokuhamba kancane. Kuyajabulisa. ( Isiqondiso Sohlelo Lokuthobela Imithetho Jikelele lwe-OIG )

Kungani i-AI inekhono ngempela ezingxenyeni zokubhala amakhodi 😎

Ake sinike i-AI udumo lapho itholakale khona. Kunezindawo lapho inamandla khona ngokusemthethweni:

1) Ukuqashelwa kwephethini ngezinga

Ukuhlangana okukhulu, okuphindaphindekayo okunemibhalo ehambisanayo? I-AI ivame ukungithinta:

  • ikhodi yokuxilongwa ejwayelekile yezimo ezivamile

  • inqubo eqondile yokufaka ikhodi lapho imibhalo ihlanzekile

  • ukuthola ubufakazi obusekelayo ngokushesha (amalebhu, izithombe, uhlu lwezinkinga)

2) Ukusheshisa "ukuzingela"

Ngisho nabachwepheshe bokubhala amakhodi bachitha isikhathi befuna:

  • iphi isitatimende somhlinzeki

  • kuphi ukucaciswa

  • yini esekela isidingo sezokwelapha

  • kuphi ukuthambekela kwe-dang laterality 😩

I-AI ingaveza imigqa efanele, iveze ukushoda kolwazi oluqondile, futhi inciphise ukukhathala kokuskrola. Lokho akukuhle, kodwa kuwukukhiqiza kwangempela.

3) Amaphethini okuvimbela ukwenqatshwa

I-AI ingafunda amaphethini afana nalawa:

Ababhali bekhodi sebevele benza lokhu ngengqondo. I-AI ikwenza ngomsindo nangokushesha.

Kungani i-AI ilwa nezinkinga ngamakhodi ezingxenye akhokhelwa ukuphatha 😬

Manje uhlangothi oluphambene. Izingxenye eziphula ukuzenzekela ngokuvamile ziyizingxenye ezifanayo ezihlukanisa "ukufakwa kwekhodi" "nokufaka ikhodi."

Ukungacaci kwezokwelapha kanye nemizwa yodokotela

Abahlinzeki babhala izinto ezifana nalezi:

  • “kungenzeka,” “khipha,” “umsolwa,” “angeke ngikhiphe”

  • “umlando,” “iposi lesimo,” “okuxazululiwe,” “okungapheli kodwa okuzinzile”

  • "kungenzeka ukuthi i-pneumonia kodwa futhi ingaba yi-CHF"

I-AI ingakuqonda kabi ukungaqiniseki bese ikuguqula kube yiqiniso. Lokho... akulona iphutha elihle.

Umqondo ocacile wesiqondiso (kanye nesiphithiphithi senqubomgomo yabakhokhi)

Ukubhala ikhodi akukhona nje "okwenzekile ngokwezokwelapha." Kungukuthi:

I-AI ingafunda amaphethini, impela. Kodwa uma umuntu okhokhayo eshintsha umthetho, abantu bayazivumelanisa ngenhloso. I-AI izivumelanisa nokudideka nokuzethemba. Lokho kuyinhlanganisela embi.

Inkinga "yomusho owodwa ongekho"

Umugqa owodwa ungaguqula ukukhethwa kwekhodi, i-DRG, ukubanjwa kwengozi kwe-HCC, noma izinga le-E/M. I-AI ingase iyiphuthe, noma okubi nakakhulu - inqume. Futhi ukuphetha ekubhaleni ikhodi kufana nokwakha ibhuloho kusuka ku-jelly. Kubukeka kahle uze unyathele kulo.

Ngakho-ke... Ingabe i-AI izothatha indawo yabaQoqisi beMithi? Umphumela ongokoqobo kakhulu 🧩

Buyela emushweni oyinhloko: Ingabe i-AI izothatha indawo yabaQophi Bezokwelapha?
Impendulo yami engcono kakhulu iwukuthi: i-AI ithatha indawo yezingxenye zomsebenzi kuqala, bese ishintsha izindima, futhi inciphise inani labasebenzi lapho izinhlangano zikhetha ukungaphinde zitshale isikhathi esilondoloziwe.

Ukuhumusha:

  • Ezinye izinhlangano zizosebenzisa i-AI ukukhulisa umkhiqizo ngaphandle kokudilizwa emsebenzini

  • Abanye bazoyisebenzisela ukunciphisa izindleko (futhi babhekane nemiphumela emibi kamuva)

  • Abanye bazokwenza ingxube, kuye ngokuthi imigqa yesevisi injani

Kodwa nansi into abantu abayiphuthelayo: uma i-AI inyusa isivinini, ingandisa nengozi. Leyo ngozi iqhuba isidingo salokhu:

Ngakho-ke ukufaka esikhundleni akuyona into eqondile. Kufana kakhulu ne-treadmill egqoke izimbadada. Intuthuko… kodwa iyaxega kancane. 😅

Yini eshintsha kuqala: ukulaliswa esibhedlela uma kuqhathaniswa nokulaliswa esibhedlela uma kuqhathaniswa nochwepheshe 🏥

Akuwona wonke umsebenzi wokubhala amakhodi othinteka ngokulinganayo. Ezinye izindawo kulula ukuzenza ngokuzenzakalela ngoba imibhalo nemithetho kuhlelekile kakhulu.

Isiguli sangaphandle kanye nochwepheshe

Ngokuvamile ubona ukuzenzekela okusheshayo ngoba:

  • ivolumu ephezulu

  • amathempulethi aphindaphindwayo

  • okuphakelayo kwedatha okuhlelekile kakhulu

  • Kulula ukusebenzisa ukuhlela okusekelwe emithethweni + izixwayiso ze-AI ( ukuhlelwa kwe-CMS NCCI )

Kodwa ubunzima bokulinganisa i-E/M, ukwenza izinqumo zezokwelapha, kanye nokuhlolwa kwabakhokhi kusagcina abantu bebalulekile kakhulu. ( CMS MLN006764 – Izinsizakalo Zokuhlola Nokuphatha )

Isiguli esilaliswe esibhedlela

Ukufakwa kwekhodi kwangaphakathi kwesiguli kunokwehluka okukhulu:

  • ukuhlala isikhathi eside nokuxilongwa okuningi

  • izinkinga, izifo ezihambisanayo, izinqubo

  • Imithelela ye-DRG kanye nokuqondana kwemininingwane

  • ukuphazamiseka kwemibhalo okuqhubekayo ( CMS FY 2026 ICD-10-CM Codeing Guidelines )

I-AI ingasiza, kodwa "isiguli esingenakuthinta" sivame ukuba yiphupho elingaphezu kweqiniso ezibhedlela eziningi.

Imizila ekhethekile

I-Radiology kanye ne-pathology kungabona izinzuzo ezinkulu ngenxa yokubika okuhlelekile. I-ED ingaxutshwa - amanothi asheshayo, anezifanekiso, kodwa iqiniso lingahlelekile.

Inkundla yempi efihliwe: ukuthobela imithetho, ukuhlolwa kwamabhuku, kanye nokuziphendulela 🧾

Yilapho "ukufaka esikhundleni" kuntengantenga khona.

Ngisho noma i-AI isikisela amakhodi, ukuziphendulela kusafika endaweni ethile ethize:

Amaqembu okuthobela imithetho ngokuvamile afuna:

I-AI ingakusekela lokho - kodwa kuphela uma umsebenzi wakhelwe ukulondoloza ubufakazi nokunciphisa ukwamukelwa okungaboni. ( NIST AI RMF 1.0 )

Okucacile lapha: uma umsebenzi wakho we-AI ukhuthaza ukugxivizwa kwerabha, awugcini imali. Uboleka izinkinga. Ngenzalo. 😬 ( GAO-19-277 , Uhlelo lwe-CMS CERT )

Indlela yokuhlala ubalulekile: inqwaba yamakhono okubhala ikhodi "angenabungozi be-AI" 💪🧠

Uma ungumuntu obhala ikhodi yezokwelapha ofunda lokhu ngomuzwa oqinile esifubeni sakho, nansi izindaba ezinhle: ungazibeka endaweni yomsebenzi i-AI engenakukwazi ukuwuphatha ngokuphephile.

Amakhono akhula kahle (ngisho nasendaweni ene-AI eningi):

Uma i-AI iyi-calculator, awuphelelwa yisikhathi ngokwenza izibalo kangcono. Uba yigugu kakhulu ngokwazi ukuthi i-calculator iphambukile nini, nokuthi kungani.

Indlela izinhlangano okufanele zisebenzise ngayo i-AI ngaphandle kokwenza wonke umuntu abe lusizi 😵💫

Uma usohlangothini lobuholi, nansi amaphethini okusebenzisa engiwabonile esebenza kahle kakhulu:

1) Qala ngokuthi “siza” hhayi “shintsha”

Sebenzisa i-AI ku:

  • ukubeka phambili ishadi

  • ubufakazi obuvelayo

  • iziphakamiso zekhodi ezinezikolo zokuzethemba

  • ukuqondisa umsebenzi ngokusekelwe ebunzimeni

2) Yakha izimpendulo ngendlela oqonde ngayo

Uma abakhi bekhodi belungisa umphumela we-AI, bhala ukuthi:

  • hlobo luni lwephutha

  • kungani kwenzeke

  • yimaphi amadokhumenti abangele lokhu

  • ukuthi iphindaphinda kangaki

Ngaphandle kwalokho ithuluzi alithuthuki futhi wonke umuntu uba ngcono ekungalinaki.

3) Ukuhlukanisa umsebenzi ngokwezinkimbinkimbi

Uhlelo lokusebenza olusebenzayo:

  • ubunzima obuphansi - ukuzenzekela okwengeziwe

  • ubunzima obuphakathi - ukuhamba komsebenzi we-coder + AI pair

  • ubunzima obukhulu - uchwepheshe wokubhala ikhodi kuqala, i-AI yesibili (yebo, eyesibili)

4) Linganisa imiphumela efanele

Akuyona nje imikhiqizo kuphela. Futhi:

  • amazinga okwenqatshwa

  • okutholakele ekuhlolweni kwezimali

  • amazinga okugumbuqela

  • ivolumu yombuzo kanye nekhwalithi yempendulo

  • ukwaneliseka komfaki wekhodi (ngokungathi sína) ( Uhlelo lwe-CMS CERT )

Uma umkhiqizo ukhuphuka futhi ukwenqatshwa kukhuphuka… lokho akulona impumelelo. Leyo inkinga ekhanyayo.

Indlela ikusasa elibukeka ngayo (ngaphandle kwedrama yesayensi) 🔮

Masingazenzi sengathi akukho lutho oluzoshintsha. Kuzoshintsha. Kodwa indaba "yokuphela kwabahleli bekhodi" ilula kakhulu.

Kungenzeka kakhulu:

  • izindima ezimbalwa zokufaka ikhodi emsulwa

  • izindima eziningi ezihlanganisiwe (ukubhala ikhodi + ukuhlolwa + ukuhlaziywa + ukuhambisana nomthetho)

  • amaqembu okubhala amakhodi aba amaqembu asezingeni ledatha

  • ubuqotho bemibhalo buba yinto enkulu

  • I-AI iba ngumuntu osebenza naye ojwayelekile omphathisa, uthanda noma ungathandi ( NIST AI RMF 1.0 , OIG - Isiqondiso Sohlelo Lokuthobela Umthetho Jikelele )

Futhi yebo, eminye imisebenzi izoncishiswa kwezinye izimo. Leyo ngxenye ingokoqobo. Kodwa ukunakekelwa kwezempilo kuyawuthanda umthethonqubo, ukuguquguquka, okuhlukile, kanye namaphepha. I-AI ingabhekana nezinto eziningi… kodwa ukunakekelwa kwezempilo kunethalente lokuqamba izinto ezintsha eziyinkimbinkimbi, njengokungathi kuyinto yokuzilibazisa.

Ukufika endizeni: Ingabe i-AI izothatha indawo yabaQoqisi Bezokwelapha? 🧡

Ake sifike phansi kule ndiza.

Ingabe i-AI izothatha indawo yabaQophi Bezokwelapha? Hhayi ngendlela ehlanzekile, ephelele, nesayensi abantu abayishoyo. I-AI izonciphisa ngokuphelele imisebenzi ephindaphindwayo, isheshise ukubhalwa kwekhodi okuvamile, futhi icindezele izinhlangano ukuthi zihlele kabusha amaqembu. Kuzophinde kudale isidingo esengeziwe sokuqapha, ukuhlola, ukuvikela ukuthobela imithetho, isu lokuphika, kanye nomsebenzi wobuqotho bemibhalo. ( AHIMA - I-Computer-Assisted Coding Toolkit , i-OIG - Isiqondiso Sohlelo Lokuthobela Imithetho Jikelele )

Isifinyezo esisheshayo 🧾

Futhi, ukuze ngikhulume iqiniso... uma i-AI ike "yathatha indawo" yokubhala ikhodi ngokuphelele, kuzoba ngoba imibhalo isiphelele. Futhi leyo yinto engenangqondo kakhulu engiyishilo usuku lonke 😂 ( CMS MLN909160 - Izidingo Zokubhala Amarekhodi Ezokwelapha )

Imibuzo Evame Ukubuzwa

Ingabe i-AI izothatha indawo yabakhi bekhodi bezokwelapha ngokuphelele eminyakeni embalwa ezayo?

Akunakwenzeka ukuthi i-AI ithathe indawo yabafaki bekhodi bezokwelapha ngokugcwele maduze. Iningi lezinhlelo zokusebenza zangempela ligxile ekusizeni imisebenzi ejwayelekile, eningi kakhulu kunokususa indima ngokuphelele. Ukubhala amakhodi kusadinga ukwahlulela, ukuchazwa kwesiqondiso, kanye nokuqwashisa ngokuthobela imithetho. Empeleni, i-AI ishintsha indlela abafaki bekhodi abasebenza ngayo ngaphezu kokuthi bayadingeka yini abafaki bekhodi.

Isetshenziswa kanjani i-AI njengamanje emisebenzini yokubhala ikhodi yezokwelapha?

I-AI ivame ukusetshenziswa ukuphakamisa amakhodi, ukufaka amadokhumenti afanele, ukumaka ukucaciswa okungekho, kanye namashadi okuhlola ngobunzima. Izinhlelo eziningi zisebenza kumodeli yomuntu ngaphakathi kwe-loop lapho abafaki bekhodi bebuyekeza, balungisa, noma benqaba iziphakamiso ze-AI. Lokhu kuthuthukisa isivinini ngaphandle kokudlulisa umthwalo wemfanelo. Ukuqapha kusabalulekile ukuze kulandelwe imithetho nokunemba.

Yiziphi izingxenye zokubhala ikhodi yezokwelapha okulula kakhulu ukuthi i-AI izisebenzise ngokuzenzakalelayo?

I-AI isebenza kahle kakhulu ngokuhlangana okuphindaphindiwe, okubhalwe phansi kahle njengokuvakasha okuvamile kweziguli ezingalaliswa esibhedlela noma imibiko ekhethekile ehlelekile. Izimo eziningi ezakhiwe ngamathempulethi ahambisanayo kulula ukuzenzakalela. Ukuhlola ikhodi, ukugqamisa ubufakazi, kanye nokutholwa kwephethini yokuphika okuyisisekelo kuvame ukuba yizimo zokusetshenziswa ezinamandla. Ukwahlulela okuyinkimbinkimbi kwezokwelapha kusalokhu kuyinselele.

Kungani i-AI inenkinga ngamarekhodi ezokwelapha ayinkimbinkimbi noma angacacile?

Imibhalo yezokwelapha ivame ukuqukatha ukungaqiniseki, ukuxilongwa okuphikisanayo, kanye nolimi olungacacile. I-AI ingazifunda kabi izichasiso njengokuthi “kungenzeka” noma “ukungasho lutho” njengezimo eziqinisekisiwe. Ingaphuthelwa nomusho owodwa obalulekile oshintsha ukulandelana noma ubukhali. Lezi zici zisenhliziyweni yokubhala ikhodi okuhambisanayo futhi kunzima ukuzenzakalela ngokuphephile.

Ingabe i-AI izonciphisa inani lemisebenzi yokubhala ikhodi yezokwelapha ezingeni lokuqala?

Izindima zezinga lokuqala zingase zibe nengcindezi kuqala njengoba umsebenzi ojwayelekile uba ngokuzenzakalelayo. Ezinye izinhlangano zingase zinciphise ukuqasha, kanti ezinye zishintsha ababhali bekhodi abancane zibe ukwesekwa kokuhlolwa kwamabhuku noma izindima zekhwalithi. Umthelela uyahlukahluka ngokuya ngenhlangano kanye nomugqa wesevisi. Izindlela zomsebenzi zingase zigobe futhi zilungiswe kabusha kunokuba zinyamalale.

I-AI iyithinta kanjani ingozi yokuthobela imithetho kanye nokuhlolwa kwezimali ekubhalweni kwekhodi kwezokwelapha?

I-AI ingandisa isivinini kanye nengozi uma ukubusa kubuthakathaka. Ukubhala ikhodi okusheshayo ngaphandle kwezinqubo zokubuyekeza ezihlala isikhathi eside kungakhuphula amazinga okuphika noma ukuvezwa kokuhlolwa. Amaqembu okuthobela imithetho asadinga izinqumo ezinengqondo nezivikelekile. Ukubuyekezwa kwabantu, izindlela zokuhlolwa, kanye nokuziphendulela okucacile kusalokhu kuyizivikelo ezibalulekile.

Yimaphi amakhono asiza ababhali bekhodi yezokwelapha ukuthi bahlale bebalulekile endaweni esizwa yi-AI?

Amakhono ahlobene nokuhlola amabhuku, ukuhumusha isiqondiso, ukuhlaziywa kwenqubomgomo yabakhokhi, kanye nokuphathwa kokuphika avame ukuguga kahle. Ababhali bekhodi abaqonda ukuthi kungani ikhodi ilungile, hhayi nje kuphela ukuthi iyiphi ikhodi okufanele bayikhethe, kunzima ukuyishintsha. Ubuchwepheshe obukhethekile kanye nokubambisana kwe-CDI nakho kwengeza inani. Izindima eziningi ziya ekhwalithini nasekubuseni.

Ingabe ukufaka ikhodi yezokwelapha "engathinteki" kunengqondo ezinhlanganweni eziningi?

Ukubhala ikhodi ngaphandle kokuthinta kungasebenza ezimweni ezincane nezilula ezinemibhalo ehlanzekile. Ezimweni eziyinkimbinkimbi zokulaliswa esibhedlela noma ezimweni eziningi, kuvame ukwehluleka. Izinhlangano eziningi zibona imiphumela enamandla ngezinhlelo zokusebenza ezihlanganisiwe. Ukwenza ngokuzenzakalelayo okugcwele kuvame ukwandisa isidingo sokuhlolwa nokulungiswa okungezansi kunokususa umsebenzi.

Izinkomba

  1. Ihhovisi Lomhloli Jikelele (i-OIG), uMnyango Wezempilo kanye Nezinsizakalo Zabantu wase-US - Isiqondiso Sohlelo Lokuthobela Umthetho Ojwayelekile - oig.hhs.gov

  2. Isikhungo Sikazwelonke Sezindinganiso Nobuchwepheshe (i-NIST) - Uhlaka Lokuphathwa Kwengozi ye-AI (i-AI RMF 1.0) - nist.gov

  3. Isikhungo Sikazwelonke Sezindinganiso Nobuchwepheshe (i-NIST) - Iphrofayili Yokukhiqiza I-AI (i-NIST AI 600-1) - nist.gov

  4. Izikhungo Zezinsizakalo Ze-Medicare Ne-Medicaid (i-CMS) - Izidingo Zokubhala Amarekhodi Ezokwelapha (MLN909160) - cms.gov

  5. Izikhungo Zezinsizakalo Ze-Medicare Ne-Medicaid (i-CMS) - Iziqondiso Zokubhala Ikhodi ze-ICD-10-CM Zonyaka Ka-2026 - cms.gov

  6. Izikhungo Zezinsizakalo Ze-Medicare Ne-Medicaid (i-CMS) - Ukuhlelwa Kwe-National Correct Coding Initiative (i-NCCI) - cms.gov

  7. I-American Health Information Management Association (AHIMA) - I-Computer-Assisted Codeing Toolkit - ahima.org

  8. Izikhungo Zezinsizakalo Ze-Medicare Ne-Medicaid (i-CMS) - Uhlelo Lokuhlola Izinga Lamaphutha Oluphelele (i-CERT) - cms.gov

  9. Izikhungo Zezinsizakalo Ze-Medicare Ne-Medicaid (i-CMS) - Izinsizakalo Zokuhlola Nokuphatha (MLN006764) - cms.gov

  10. Ihhovisi Lokuzibophezela Kukahulumeni wase-US (GAO) - GAO-19-277 - gao.gov

  11. Izikhungo Zezinsizakalo Ze-Medicare Ne-Medicaid (i-CMS) - Ukulungiswa Kwengozi - cms.gov

Thola i-AI Yakamuva Esitolo Esisemthethweni Somsizi we-AI

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