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HL7

How FHIR® Interoperability Affects Revenue Cycle Management: Claims, Credentialing, Payer Data Exchange

October 27, 2025 / Alex J. Lau / FHIR, HL7, Interoperability
FHIR Data Exchange Interoperability

FHIR, Fast Healthcare Interoperability Resources, is the current standard for healthcare data exchange, developed by Health Level Seven International and built on RESTful APIs and web-based architecture. In revenue cycle management, FHIR matters because it enables the real-time data exchange that reduces the friction points where billing delays and errors accumulate. Those include eligibility verification, […]

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Credentialing, Payer Contracting, Rate Negotiation, RCM

What Is FHIR® in Healthcare? How the Standard Works, What It Means for Billing and Data Exchange

July 10, 2025 / Alex J. Lau / FHIR, Healthcare Interoperability, HL7
White Male Medical Doctor Typing at Machine

FHIR, pronounced “fire,” stands for Fast Healthcare Interoperability Resources. It is the current standard for electronic health data exchange, developed and maintained by Health Level Seven International (HL7). FHIR uses RESTful APIs and modern web technologies to define how clinical and administrative data is structured, accessed, and transmitted between healthcare systems. Unlike earlier HL7 standards […]

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FHIR, Healthcare Interoperability, HL7

HL7 vs FHIR: The Key Differences

February 22, 2024 / Alex J. Lau / FHIR, HL7
HL7 versus FHIR

HL7 and FHIR are both standards developed by Health Level Seven International for exchanging healthcare data between software systems, but they represent different generations of the same effort. HL7 v2.x, the version most widely deployed today, was developed in the late 1980s to enable data exchange between hospital information systems using pipe-delimited message segments. FHIR, […]

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Billing Automation, Interoperability, Message Exchange Patterns, RESTful API, RPA

Bridging Healthcare’s Technical and Business Sides

January 10, 2024 / Alex J. Lau / Cross-functional, EHR, EMR, Health Level 7, Healthcare, Healthcare AI, Healthcare Business, Healthcare Ecosystem, Healthcare Operations, HL7, Medical Business, Medical Technology, Modern Healthcare, Patient Experience
Bridge Gap Healthcare Business

The healthcare industry is rapidly changing and becoming more complex. Developing expertise across both technical and business domains is crucial for healthcare organizations to keep up with industry changes and provide high-quality care. Below, we’ll stress the importance of cross-functional expertise in healthcare and provide actionable insights for developing well-rounded teams. The Evolving Healthcare Landscape […]

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Cross-functional, Healthcare Business, Healthcare Ecosystem, Healthcare Operations, Healthcare Technology, Healthtech, HL7, HL7 Interfacing, Medical Business, Medical Technology, Medtech, Modern Healthcare, Patient Experience

Medical Providers and the Untapped Potential of HL7

January 9, 2024 / Alex J. Lau / HL7

The healthcare industry has undergone massive changes in recent years, fueled by advances in technology and a shift towards patient-centered care. However, one area that still has untapped potential is the use of Health Level 7 (HL7) standards. HL7 provides a framework for exchanging clinical and administrative data between software applications used by various healthcare […]

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EHR Integration, FHIR, Interoperability, Medical Billing, RPA

Brace for Impact: Managing the Surge of New Medical Billing Regulations

November 27, 2023 / Alex J. Lau / Billing, Billing Regulations, Billing Revenue, Claim Data, Good Faith Estimates, Health Level 7, Healthcare, HL7, Interoperability, Medicaid, Medical Billing Regulations, Medicare, No Surprises Act, Pre-Authorization
Medical Billing Software White Male User

As US healthcare costs continue rising steeply – now over $4 trillion representing nearly 20% of GDP – both federal and state policymakers urgently seek ways to contain runaway expenditure growth. This drive manifests through expansion of programs like Medicare Advantage and Medicaid managed care coupled with accelerating passage of game-changing legislation like No Surprises […]

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Billing, Billing Best Practice, Billing Disruption, Billing Revenue, Claim Data, Consumer-Centered Billing, Good Faith Estimates, Health Level 7, Healthcare, HL7, Interoperability, Medicaid, Medical Billing Regulations, Medicare, No Surprises Act, Pre-Authorization

What Is HL7? Healthcare Interoperability Standards Explained: v2, v3, FHIR, CDA

September 29, 2023 / Alex J. Lau / FHIR, Healthcare Interoperability, HL7

HL7, which stands for Health Level Seven, is a set of international standards for the exchange of clinical and administrative data between healthcare software systems. The standards define how information is structured, encoded, and transmitted between electronic health records, laboratory systems, billing platforms, imaging systems, and other healthcare applications. Without a shared standard, these systems […]

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FHIR, Healthcare Interoperability, HL7

The Efficacy of Robotic Process Automation (RPA) in Medical Billing

February 5, 2023 / Alex J. Lau / FHIR, FHIR Adoption, FHIR API, FHIR vs HL7, Health Level 7, Healthcare, HL7, HL7 FHIR, HL7 Interface, Medical, Medical Billing Robotic Process Automation, Robotic Process Automation, RPA, RPA HL7
robotic-process-automation-RPA-example-code

RPA has Transformed the Medical Billing Industry Medical billing is a crucial aspect of the healthcare industry, responsible for accurately tracking and processing payments for patient care and services. In recent years, advances in technology have led to the development of Robotic Process Automation (RPA) in Healthcare, which has been hailed as a game-changer for […]

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Adding Relevant ICD Codes, Caims Generation Submission, Claim Submissions, Data Entry, FHIR, FHIR Adoption, FHIR API, FHIR vs HL7, Health Level 7, Healthcare, HIPAA, HL7, HL7 FHIR, HL7 interface, HL7 Standards, Insurance Coverage Verification, Medical, Medical Billing Robotic Process Automation, Medical Billing RPA, Patient registration, Payment Processing, Robotic Process Automation, RPA, RPA HL7, Superbill creation, UiPath

HL7 Standards: Building a Conduit Between Modern Healthcare and Advancing IT

November 16, 2022 / Alex J. Lau / Health Level 7, Healthcare, Healthcare Delivery, Healthcare KPIs, Healthcare Outcomes, HL7, HL7 Format

HL7 (Health Level Seven) is a standard for swapping health information between medical applications. This standard identifies a format for the transmission of health-related information. Information transmitted using the HL7 standard is sent as a collection of one or more messages. Each message sends one record or item of health-related information. Background on HL7 Format Two […]

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Healthcare Delivery, Healthcare Format, Healthcare HL7, HL7, HL7 Standards

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

Medical Billing Robotic Process Automation (RPA)

February 22, 2022 / Alex J. Lau / Billing Automation, Billing RPA, Health Level 7, HL7, Medical Billing Automation, Medical Billing RPA, RCM, Revenue Cycle Management, Robotic Process Automation, RPA
Robotic Process Automation (RPA) Medical Billing

What is Robotic Process Automation? When you come across the term “robotic process automation,” you might think it sounds rather futuristic. However, RPA, as it’s often termed, is a technology being deployed more and more in the healthcare industry, including medical billing. Robotic process automation (software) consists of tools that partly or fully automate human […]

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Billing Automation, Billing RPA, EHR, EHR RPA, EMR, EMR RPA, Health Level 7, HL7, Insurance, Medical Billing, Medical Billing Automation, Medical Billing Robotic Process Automation, Medical Billing RPA, RCM, Revenue Cycle Management, Robotic Process Automation, Robotic Process Automation Billing, Robotic Process Automation Medical Billing, RPA, RPA Billing

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Recent Posts

  • Denied Medical Claim Appeal Letter

    Why an Approved Authorization Can Still End in a Denied Claim

  • 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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