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Artificial Intelligence

Healthcare Data Readiness for AI: Why Many Pilots Fail, How to Fix the Root Cause

May 16, 2026 / Alex J. Lau / Artificial Intelligence, Healthcare AI, Healthcare Data
Healthcare Data Ready for AI

Most healthcare AI pilots fail not because the technology is flawed but because the data feeding it is fragmented, inconsistent, or structured in ways the AI cannot reliably use. Predictive analytics tools trained on inconsistently coded claims produce unreliable predictions. Prior authorization AI that pulls from incomplete patient records misses critical clinical context. Coding assistants […]

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Artificial Intelligence, Healthcare AI, Healthcare Data

What the Federal AI Policy Framework Means for Healthcare

April 25, 2026 / Alex J. Lau / Artificial Intelligence, Artificial Intelligence Policy, Donald Trump, Federal AI Policy, Trump Federal AI Policy
Artificial Intelligence Handshake, a Robot with a Medical Doctor

The Trump Administration’s National Policy Framework for Artificial Intelligence, released in 2025, is a four-page document that does not mention healthcare once. It focuses on eliminating regulatory barriers to AI development, promoting American AI leadership globally, and reducing federal oversight of AI deployment. What it does not do is establish guardrails for how AI is […]

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AI, Artificial Intelligence, Artificial Intelligence Policy, Donald Trump, Federal AI Policy

Medical Billing Trends in 2026: AI, Prior Authorization Reform, Value-Based Payment Shifts

January 1, 2026 / Alex J. Lau / Artificial Intelligence, Medical Billing, Prior Authorization, Value-Based Care
Medical Billing Trends in 2026

Three medical billing trends are having the most immediate operational impact in 2026. AI-powered claim scrubbing and denial prediction becoming standard in billing departments of all sizes, electronic prior authorization reaching meaningful interoperability across major payers, and value-based payment arrangements tying a growing share of reimbursement to quality metrics rather than visit volume. Each trend […]

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Cybersecurity, FHIR, Price Transparency, Revenue Cycle, Telehealth Billing

AI in Medical Credentialing: Cut Processing Time from 90 to 30 Days

November 26, 2025 / Alex J. Lau / Artificial Intelligence, Medical Credentialing
AI Bot Assistance in Medical Credentialing

Medical credentialing has always been one of healthcare’s most time-consuming administrative tasks. For decades, healthcare providers have dealt with mountains of paperwork, endless verification calls, and months-long waiting periods just to get approved to see patients and receive insurance reimbursements. Artificial intelligence is now changing credentialing in ways that seemed impossible just a few years […]

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AI Credentialing Software, Healthcare Revenue Cycle, HIPAA Compliance, Primary Source Verification, Provider Onboarding

AI’s Ethical Frontier: Managing Healthcare’s Data Morality

October 28, 2025 / Alex J. Lau / AI in Healthcare, Artificial Intelligence
Medical Doctor Touches Robot Finger

The rise of artificial intelligence in healthcare has brought us to a crossroads where technology meets human values. As AI systems become more prevalent in medical settings, they’re handling increasingly sensitive patient information, making life-altering treatment recommendations, and reshaping how doctors practice medicine. This transformation raises critical questions about privacy, fairness, and the very nature […]

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AI, AI-Powered Healthcare

How AI-Powered Healthcare Solutions Improve Patient Care & Satisfaction

October 11, 2025 / Alex J. Lau / Artificial Intelligence
12 Real World Healthcare Use Cases of AI / Artificial Intelligence

The healthcare industry stands at a remarkable crossroads. On one side, we have patients who deserve better experiences, faster answers, and more personalized care. On the other, we have healthcare providers struggling with burnout, administrative overload, and the constant pressure to do more with less. Enter artificial intelligence, a game-changing force that’s reshaping how we […]

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Administrative Automation, AI Chatbots, AI in Healthcare, Patient Engagement, Patient Satisfaction

How Artificial Intelligence (AI) is Reshaping Life Sciences

September 7, 2025 / Alex J. Lau / Artificial Intelligence
Life Science Lab Doctor Using Microscope AI

The intersection of artificial intelligence and life sciences represents one of the most transformative technological convergences of our time. From accelerating drug discovery to personalizing treatment plans, AI is fundamentally changing how researchers approach biological questions and how healthcare providers deliver care. This technological revolution is not merely augmenting existing processes but creating entirely new […]

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AI, AI in Healthcare, Life Sciences

How is AI Being Used in Healthcare?

September 5, 2025 / Alex J. Lau / Artificial Intelligence, Healthcare AI
Artificial Intelligence Robot Thinking

The intersection of artificial intelligence and healthcare represents one of the most transformative developments in modern medicine. As AI technologies develop, they’re reshaping how medical professionals diagnose diseases, treat patients, and manage healthcare systems. From machine learning algorithms that can spot cancer cells in medical images to chatbots that provide 24/7 patient support, AI is […]

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AI Diagnostic Models, AI Use Cases, Healthcare AI, Healthcare Use Cases

How is AI Being Used in Medical Credentialing?

August 1, 2025 / Alex J. Lau / Artificial Intelligence, Medical Credentialing
Artificial Intelligence (AI) in Healthcare

The healthcare industry has long struggled with the complex, time-consuming process of medical credentialing. Traditionally a paper-heavy, manual endeavor that could take months to complete, medical credentialing is undergoing a revolutionary transformation through artificial intelligence (AI) and machine learning technologies. This digital revolution is reshaping how healthcare organizations verify provider qualifications, maintain compliance, and ensure […]

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AI, AI Credentialing, AI in Healthcare, Artificial Intelligence Credentialing, Credentialing Technology

Medical Billing AI and Automation Trends to Watch

October 4, 2024 / Alex J. Lau / Artificial Intelligence, Medical Credentialing
Artificial Intelligence (AI) Tools in Healthcare

Artificial intelligence and robotic process automation (RPA) are changing how medical billing gets done at a practical level, reducing the manual work involved in claim submission, coding review, eligibility verification, and denial management. The US healthcare system spends approximately $496 billion annually on billing and insurance-related administrative costs, a figure that reflects how labor-intensive the […]

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Automated Billing, Billing AI, NLP, Predictive Analytics, RPA

Medical Billing versus the Sports World: An Unlikely Comparison

January 21, 2024 / Alex J. Lau / Artificial Intelligence, Billing, Billing Revenue, Billing Services, Claim Billing, Data Management, Healthcare, Healthcare Billing, Medical Billing, RCM, Revenue Cycle, Revenue Cycle Management, Sports
Medical Billing versus Sports

At first glance, medical billing and professional sports seem to occupy opposite ends of the career spectrum. However, there are interesting parallels in how these two worlds operate when it comes to finances, data, and competition. Drawing comparisons between the healthcare administration and athletics provides unique insights that billing professionals can apply to enhance their […]

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AI, Artificial Intelligence, Claim Data, Data, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Outsourced Billing, Outsourced Medical Billing, RCM, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Optimization, Sports, Sports vs Billing

Why Would a Medical Provider Want to Use Robotic Process Automation?

December 13, 2023 / Alex J. Lau / Artificial Intelligence, Automation, Billing, Billing AI, Billing Automation, Claim Transmission, Claims Management, Healthcare, Healthcare AI, Healthcare Billing, HIPAA, HL7, Medical Billing, Medical Billing Automation, Robotic Process Automation, RPA
Robotic Process Automation (RPA) Medical Billing

Robotic Process Automation (RPA) has transformed industries across the globe by automating repetitive, rules-based digital tasks. In recent years, healthcare providers have begun to realize the immense potential benefits RPA can offer their organizations too. Implementing RPA can be a challenging process, but for those willing to invest in change, the payouts are plentiful. Below, […]

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AI, Artificial Intelligence, Automation, Billing Automation, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Automation, Revenue Cycle Management, Revenue Cycle Optimization, Robotic Process Automation, RPA

The Future of Medical Billing: Revolutionizing Healthcare Administration

June 7, 2023 / Alex J. Lau / Artificial Intelligence, Automation, Billing, Blockchain Technology, CPT Codes, HL7, Machine Learning, Patient-Centric Billing Systems, Predictive Analytics, Real-Time Claims Processing, Remote Billing, Telemedicine
Medical Billing White Guy

Medical billing plays a critical role in the healthcare industry, ensuring accurate reimbursement for services provided by healthcare providers. However, the traditional processes of medical billing have long been plagued by challenges such as complex coding systems, frequent changes in regulations, and increasing administrative burden. The future of medical billing holds great promise in transforming […]

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Automation, Blockchain Technology, EHR, HIPAA, HIPAA and Data Protection, Machine Learning, Medical Billing, Patient-Centric Billing Systems, Predictive Analytics, Real-Time Claims Processing, Reducing Rejected Claims, Remote Billing, Telemedicine

The Future of Medical Billing

March 27, 2023 / Alex J. Lau / AI, Artificial Intelligence, Billing, Billing Services, Healthcare, Healthcare Billing, HIPAA, HIPAA Compliant, Medical, Medical Billing, Medical Billing AI, Telehealth, Telemedicine
Medical Billing, Credentialing Team

As medical technology continues to evolve, so does the way we manage and pay for healthcare. One area in particular that has seen significant changes in recent years is medical billing. Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for medical services […]

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AI, Artificial Intelligence, Billing, Billing Services, Healthcare, Healthcare Billing, HIPAA, HIPAA Compliant, Medical, Medical Billing, Medical Billing AI, Telehealth, Telemedicine

The Role of AI in Medical Billing and Coding

August 29, 2022 / Alex J. Lau / AI, Artificial Intelligence, Billing, Billing AI, Health Level 7, Healthcare AI, Healthcare Billing, Healthcare Credentialing, Healthcare Outcomes, HL7, Medical Billing, Medical Billing AI, Medical Billing Artificial Intelligence, RPA
AI in Medical Billing and Coding

Artificial Intelligence (AI) is a hot topic right now with many speculating on how it will change the way we live our lives. In fact, we’ve already discovered that in the medical field there are numerous ways that AI can be employed to improve overall performance. As a prime example, medical billing and coding have […]

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AI, Artificial Intelligence, Artificial Intelligence Healthcare, Billing, Billing AI, EHR, EHR RPA, Health Level 7, Healthcare AI, HL7, Insurance, Medical Billing, Medical Billing AI, Medical Billing Artificial Intelligence, RPA

Does Artificial Intelligence (AI) Help or Hurt Healthcare Processes?

March 1, 2022 / Alex J. Lau / Artificial Intelligence, Healthcare, Healthcare Billing, Healthcare Delivery, Healthcare KPIs, Healthcare Outcomes
AI in RCM

No matter the industry, artificial intelligence (AI) has become routine and commonplace. When it comes to healthcare, AI helps practitioners streamline tasks, expand operational efficiencies and simplify complicated medical procedures. AI in medical billing and coding is becoming increasingly more crucial. Although AI is certainly transforming the healthcare industry, this technology is still quite new. As […]

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AI, AI Healthcare, AI medical, Artificial Intelligence, Artificial Intelligence Healthcare, Healthcare, Healthcare KPIs, Healthcare Outcomes, Medical Billing

Recent Posts

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  • Net Collection Rate, analyzed by analyst

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  • Modifier 96 versus Modifier 97

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  • 'Revalidation versus Recredentialing' Neon Sign

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    How to Get Providers Credentialed in 60 Days: A Week-by-Week Guide

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Recent Posts

  • Paye Contracting Requirements by State

    Payer Contracting Requirements by State: What Changes; What Stays the Same

  • AI Scribes Changing Medical Coding and Billing

    AI Scribes are Changing Medical Coding, Reimbursement

  • Net Collection Rate, analyzed by analyst

    What’s a Net Collection Rate in RCM?

  • Modifier 96 versus Modifier 97

    Modifier 96 vs. Modifier 97: What Therapy Billers Need to Know

  • 'Revalidation versus Recredentialing' Neon Sign

    Revalidation vs. Recredentialing: What’s the Difference? (2026 Guide)

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