Understanding the Role of Artificial Intelligence in Healthcare

Understanding the Role of Artificial Intelligence in Healthcare

As frequent readers may recall, the last time I reported on artificial intelligence (AI) I was discussing the big question marks surrounding the role of AI in healthcare. 

Well, last week we got a couple of answers, a look at a potential new method Congress may use to legislate AI, and an announcement that might indicate healthcare will pave its own way in what’s being called by Senate Majority Leader Schumer the “AI revolution.”

Senator Schumer held a press conference to officially present his framework for congressional legislation of AI, making good on a promise from April where he announced his plans to work towards refining the guardrails Congress will put on the emerging technology. Entitled the SAFE Innovation framework, the title represents each of the pillars of Senator Schumer’s proposal: security, accountability, foundation, and explainability. These concepts make up the word “safe,” while “innovation” is what Senator Schumer called the “North Star” of all AI policy. 

Security refers to protection from both external security threats as well as protecting the American workforce from AI eliminating their jobs.  Accountability means making sure that AI isn’t used in illegal or harmful ways—particularly when it comes to stealing intellectual property. 

What areas could AI be used, but shouldn’t? Foundations of our country include democracy, justice, and our electoral process-and AI cannot be allowed to be programmed to undermine them.  And finally, “explainability” means being able to determine why AI chose one answer over another to ensure accuracy. 

Senator Schumer also spoke to a new way Congress might be operating when it comes to legislating AI because it’s such a new issue.  He stated that this new legislative process will involve what was called insight forums with the quote “top minds in AI” rather than traditional congressional hearings with questioning. 

Schumer believes regular hearings would simply be too slow because of the rapidly changing environment of AI and if they took that approach, the actions by Congress would be obsolete by the time they passed anything. These new forums could allow legislators to simply learn-learn about the great potential and the great risk of AI.  And then take that back to the drawing board to craft legislation.

The Senate already has three scheduled briefings on AI to be held throughout 2023: the first would be a general overview of AI, the second on how to achieve American leadership on AI, and the third on general defense and intelligence concerns.  Senator Schumer promised in his speech that a legislative package would not take years-although “weeks” was too optimistic and it should be noted that the AI briefings are scheduled into early winter.

You might be noticing, though, that healthcare isn’t specifically represented or mentioned in these discussions on creating AI boundaries yet.  However, two academics from Stanford hope to lead the way on AI policy in the industry.

The Dean of Stanford School of Medicine and a director of the Stanford Institute for Human-Centered Artificial Intelligence just launched an initiative that aims to determine how to use AI in health and medicine responsibly.  The goals are to use AI to enhance clinical care outcomes, accelerate research on the biggest issues facing the industry, and assist in educating patients, providers, and researchers.  The initiative aims to do this by developing a go-to platform for AI resources and defining AI standards and safeguards for use in healthcare.

Although we have a little more clarity on the response by Congress rto AI, it’s equally possible that the healthcare industry might be taking matters into their own hands in at least developing recommendations and best practices for use in clinical settings. 

Facebook
Twitter
LinkedIn

Cate Brantley, JD

Cate Brantley is a Senior Government Affairs Liaison for Zelis. She has over 9 years of experience in both the public and private sector. Cate is licensed to practice law in the state of Oklahoma.

Related Stories

The Impact of CDI and Coding Professionals

The Impact of CDI and Coding Professionals

I often begin my day with an environmental scan. Last week, an article from Becker’s Clinical Leadership caught my eye, “Hospital mortality, infectionrates improve despite

Read More

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

I022426_SQUARE

Fracture Care Coding: Reduce Denials Through Accurate Coding, Sequencing, and Modifier Use

Expert presenters Kathy Pride, RHIT, CPC, CCS-P, CPMA, and Brandi Russell, RHIA, CCS, COC, CPMA, break down complex fracture care coding rules, walk through correct modifier application (-25, -57, 54, 55), and clarify sequencing for initial and subsequent encounters. Attendees will gain the practical knowledge needed to submit clean claims, ensure compliance, and stay one step ahead of payer audits in 2026.

February 24, 2026
Mastering Principal Diagnosis: Coding Precision, Medical Necessity, and Quality Impact

Mastering Principal Diagnosis: Coding Precision, Medical Necessity, and Quality Impact

Accurately determining the principal diagnosis is critical for compliant billing, appropriate reimbursement, and valid quality reporting — yet it remains one of the most subjective and error-prone areas in inpatient coding. In this expert-led session, Cheryl Ericson, RN, MS, CCDS, CDIP, demystifies the complexities of principal diagnosis assignment, bridging the gap between coding rules and clinical reality. Learn how to strengthen your organization’s coding accuracy, reduce denials, and ensure your documentation supports true medical necessity.

December 3, 2025

Proactive Denial Management: Data-Driven Strategies to Prevent Revenue Loss

Denials continue to delay reimbursement, increase administrative burden, and threaten financial stability across healthcare organizations. This essential webcast tackles the root causes—rising payer scrutiny, fragmented workflows, inconsistent documentation, and underused analytics—and offers proven, data-driven strategies to prevent and overturn denials. Attendees will gain practical tools to strengthen documentation and coding accuracy, engage clinicians effectively, and leverage predictive analytics and AI to identify risks before they impact revenue. Through real-world case examples and actionable guidance, this session empowers coding, CDI, and revenue cycle professionals to shift from reactive appeals to proactive denial prevention and revenue protection.

November 25, 2025
Sepsis: Bridging the Clinical Documentation and Coding Gap to Reduce Denials

Sepsis: Bridging the Clinical Documentation and Coding Gap to Reduce Denials

Sepsis remains one of the most frequently denied and contested diagnoses, creating costly revenue loss and compliance risks. In this webcast, Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, provides practical, real-world strategies to align documentation with coding guidelines, reconcile Sepsis-2 and Sepsis-3 definitions, and apply compliant queries. You’ll learn how to identify and address documentation gaps, strengthen provider engagement, and defend diagnoses against payer scrutiny—equipping you to protect reimbursement, improve SOI/ROM capture, and reduce audit vulnerability in this high-risk area.

September 24, 2025

Trending News

Featured Webcasts

Top 10 Audit Targets for 2026-2027 for Hospitals & Physicians: Protect Your Revenue

Stay ahead of the 2026-2027 audit surge with “Top 10 Audit Targets for 2026-2027 for Hospitals & Physicians: Protect Your Revenue,” a high-impact webcast led by Michael Calahan, PA, MBA. This concise session gives hospitals and physicians clear insight into the most likely federal audit targets, such as E/M services, split/shared and critical care, observation and admissions, device credits, and Two-Midnight Rule changes, and shows how to tighten documentation, coding, and internal processes to reduce denials, recoupments, and penalties. Attendees walk away with practical best practices to protect revenue, strengthen compliance, and better prepare their teams for inevitable audits.

January 29, 2026

AI in Claims Auditing: Turning Compliance Risks into Defensible Systems

As AI reshapes healthcare compliance, the risk of biased outputs and opaque decision-making grows. This webcast, led by Frank Cohen, delivers a practical Four-Pillar Governance Framework—Transparency, Accountability, Fairness, and Explainability—to help you govern AI-driven claim auditing with confidence. Learn how to identify and mitigate bias, implement robust human oversight, and document defensible AI review processes that regulators and auditors will accept. Discover concrete remedies, from rotation protocols to uncertainty scoring, and actionable steps to evaluate vendors before contracts are signed. In a regulatory landscape that moves faster than ever, gain the tools to stay compliant, defend your processes, and reduce liability while maintaining operational effectiveness.

January 13, 2026
Surviving Federal Audits for Inpatient Rehab Facility Services

Surviving Federal Audits for Inpatient Rehab Facility Services

Federal auditors are zeroing in on Inpatient Rehabilitation Facility (IRF) and hospital rehab unit services, with OIG and CERT audits leading to millions in penalties—often due to documentation and administrative errors, not quality of care. Join compliance expert Michael Calahan, PA, MBA, to learn the five clinical “pillars” of IRF-PPS admissions, key documentation requirements, and real-life case lessons to help protect your revenue.

November 13, 2025

Trending News

Happy National Doctor’s Day! Learn how to get a complimentary webcast on ‘Decoding Social Admissions’ as a token of our heartfelt appreciation! Click here to learn more →

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 1 with code CYBER25

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24