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Billing AI

How to Take Your Medical Billing to the Next Level in 2024

January 27, 2024 / Alex J. Lau / Billing, Billing AI, Billing Automation, Billing Best Practice, Billing Revenue, Billing Services, Claims Management, Coding, Denial Codes, Denial Management, Denial Trends, Denied Claims, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing AI, Medical Billing Analytics, ROI

Medical billing is a complex and ever-evolving field. With constant changes in regulations, coding guidelines, reimbursement rates, and technology, medical billing services must continuously adapt and improve to stay competitive. Taking your medical billing to the next level requires focusing on efficiency, optimization, training, and utilizing the latest tools and software. Implementing the strategies outlined […]

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Clearinghouse, EDI, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Strategy, RCM, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Optimization, Robotic Process Automation, ROI, RPA

Staffing Shortages Force New Medical Billing Strategies

January 12, 2024 / Alex J. Lau / Automation, Billing, Billing AI, Billing Automation, Billing Best Practice, Billing Revenue, Billing Services, Billing Software, Billing Staff, Claim Billing, Claim Denials, COVID, COVID-19, COVID-19 Billing, Healthcare, Healthcare Billing, Medical Billing, Medical Billing Staff, Revenue Cycle, Revenue Cycle Management
Pharmacogenetic (PGx) Testing Billing

The healthcare industry is facing a critical staffing shortage that is impacting medical billing operations and revenue cycle management. With an aging population and expanded access to healthcare, the demand for healthcare services is rising. However, there is a shortage of healthcare workers, including medical billers and coders, to meet this growing demand. This is […]

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Billing, Billing Staff, COVID billing, COVID-19, Healthcare, Healthcare Billing, Medical Billing Staff, Medical Coding, Outsource Billing, Outsource Medical billing, Outsourced Billing, Outsourced Medical Billing, RCM, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Optimization, Robotic Process Automation

Relieving Medical Billing Frustrations: The Benefits of Outsourcing to Qualified Professionals

December 28, 2023 / Alex J. Lau / Billing, Billing AI, Billing Automation, Billing RPA, Claim Billing, Claim Denials, Claims Management, Denial Management, Denied Claims, Healthcare, Healthcare Billing, Medical Billing, Medical Billing AI, RCM, Revenue Cycle, Revenue Cycle Management
Outsourcing Medical Billing

Medical billing plays a pivotal yet oft-overlooked role in provider financial stability and continuity of care operations. However, limited resources and inadequate solutions burden in-house teams trying to navigate outdated systems. The resulting claim delays, reimbursement leakage, and patient dissatisfaction has brought many practices to a breaking point. While outsourcing presents risks if not properly […]

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Billing, Healthcare, Healthcare Billing, Medical, Medical Billing, Outsourced Billing, Outsourced Medical Billing, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Optimization, Robotic Process Automation, RPA

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

Billing for Treatment of New COVID-19 Variants (EG.5, FL.1.5.1 and BA.2.86)

August 22, 2023 / Alex J. Lau / BA.2.86, Billing, Billing AI, Billing Services, Coronavirus, Coronavirus Testing Billing, COVID, COVID Testing Billing, COVID-19, COVID-19 Billing, COVID-19 variants, EG.5, FL.1.5.1, Quevir ZD584, SARS-CoV-2, U18.3, U18.4, U18.5
CPT Covid-19 Billing

The COVID-19 pandemic has persisted due to the continued emergence of new SARS-CoV-2 variants. As the novel coronavirus has spread globally, mutations in the viral genome have given rise to distinct new strains that present evolving challenges. Variants like Omicron and its sublineages have demonstrated a higher transmissibility and ability to evade immunity compared to […]

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BA.2.86, BAC886, Corona billing, Corona variants, Corona Virus, Corona virus billing, Coronavirus, COVID, COVID billing, COVID-19, COVID-19 variants, EG.5, FL.1.5.1, GXX11, GXX12, Quevir ZD584, SARS-CoV-2, U18.3, U18.4, U18.5

Understanding the Difference Between Medical Billing and Revenue Cycle Management

May 1, 2023 / Alex J. Lau / Billing AI, CPT, CPT Code, CPT Codes, Healthcare, Healthcare Billing, Healthcare Revenue, ICD-10, Medical, Medical Billing, RCM, Revenue, Revenue Cycle Management, Revenue Cycle Management (RCM)
White Female Medical Billing Outsourced

In the complex world of healthcare, managing the business side of things can often be overwhelming, especially for those new to the field. One common question that arises is the distinction between medical billing and revenue cycle management (RCM). Although the term “medical billing” has been around for a long time, RCM encompasses the entire […]

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CPT, Healthcare, Healthcare Billing, ICD, Medical, Medical Billing, Medical Billing Service, Medical Billing Software, Medical Credentialing, RCM, Revenue Cycle, Revenue Cycle Management

Why You Should Integrate EHR Systems and Medical Billing

September 23, 2022 / Alex J. Lau / Billing, Billing AI, Billing Automation, Billing Revenue, Billing RPA, EHR, EHR Integration, EMR, EMR Integration, Health Level 7, HL7, Medical Billing, Medical Billing AI, Medical Billing Artificial Intelligence, Medical Billing Automation

EHR Systems + Medical Billing Integration Medical billing and practice management has long been a labor-intensive task for healthcare providers. There’s little doubt, however, that the use of EHR (Electronic Health Records) or sometimes known as EMR (Electronic Medical Records) has considerably slashed these tasks by offering providers a proven method to effectively streamline their […]

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Billing, Billing AI, Billing Automation, Billing Revenue, Billing Service, EHR, EHR (Electronic Health Records), EHR Integration, EHR Interoperability, Electronic Health Records, Electronic Medical Records, EMR, EMR (Electronic Medical Record), Health Level 7, HL7, Interoperability, Interoperability Standards, Medical Billing

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

How to Prevent (Denied Medical Claims)

August 20, 2019 / Alex J. Lau / Billing, Billing Accuracy, Billing AI, Denials Managements, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Patient Medical Billing, Revenue Cycle Management
Denied Medical Claim

It’s approximated that $3 trillion worth of medical claims are submitted every year to insurance companies, etc., with $262 billion worth of these claims denied. Approximately 65% of the denied medical claims are not resubmitted to the organization which denied the claim. Statistical data indicates that commercial payers are denying 58% of those claims. Appealing […]

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Denial Management, Denials Managements, Denied Medical Claim Prevention, Denied Medical Claims, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Medical Claim Denial, Medical Claims, Patient Billing, Patient Medical Billing, Revenue Cycle Management, upstream process

Recent Posts

  • Medical Credentialing Specialist Searching Payers

    Credentialing Onboarding for New Providers: A Practice Manager’s Guide

  • 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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Recent Posts

  • Medical Credentialing Specialist Searching Payers

    Credentialing Onboarding for New Providers: A Practice Manager’s Guide

  • 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

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