Few back-office processes have remained as stubbornly analog as provider credentialing. For years, healthcare administrators have wrestled with mountains of paperwork, endless phone calls, and frustratingly slow verification timelines that can stretch for months. Yet, here’s the good news: technology is finally disrupting this critical yet cumbersome process, bringing much-needed efficiency, accuracy, and transparency to […]
AI, AI in Healthcare, Cloud-Based Credentialing, Credentialing, Credentialing AI, Credentialing Automation, credentialing challenges, Credentialing Technology, Primary Source Verification, PSV
Let’s talk about something that’s revolutionizing how we evaluate healthcare providers. Gone are the days when a medical degree and a license were all you needed to prove your worth as a healthcare professional. The modern healthcare landscape demands so much more, and that’s where competency-based assessment comes into play. The Limitations of Traditional Credentialing […]
360-Degree Feedback, AI, Case Reviews, CBME, Competency-Based Assessment, Competency-Based Provider Assessment, Credentialing, Direct Observation, Machine Learning, medical credentialing, Outcome Metrics, Simulation Exercises, Value Based Care, Value-Based Care Models
The American Medical Association (AMA) announced today the release of the Current Procedural Terminology (CPT®) code set for 2025, marking a significant evolution in medical coding that reflects the healthcare industry’s rapid technological advancement and changing clinical practices. The updated code set, which serves as the foundation for medical billing and documentation across the United […]
AI, AMA, AMA Intelligent Platform, artificial intelligence, Code 98975, CPT, CPT & RBRVS 2025 Annual Symposium, CPT 2025 Professional Edition, CPT Code, CPT Code Update, CPT codes, CPT Editorial Panel, Remote Therapeutic Monitoring
The healthcare industry is undergoing a rapid transformation, driven by technological advancements and the increasing adoption of artificial intelligence (AI). One area that has garnered significant attention is medical billing and coding, a crucial component of healthcare administration. As AI continues to evolve and demonstrate its capabilities in various sectors, many wonder: will medical billing […]
AI, AI Bot, AI Coding, AI in Healthcare, AI into RCM, AI Medical Coding, AI RCM, AI-driven RCM, artificial intelligence, Biling Codes, Coding, Coding Accuracy, coding and billing
The healthcare industry is undergoing a dramatic transformation, and medical billing is at the forefront of this revolution. As healthcare providers face mounting pressure to reduce costs while improving patient care, artificial intelligence (AI) and automation technologies are emerging as powerful solutions to streamline the complex, time-consuming process of medical billing. We scan the current […]
AI, AI Coding, AI in Healthcare, AI into RCM, AI Medical Coding, AI Models, Articles, artificial intelligence, automated billing, Automation, NLP, Predictive Analytics, RPA, RPA Adoption
Accurate and efficient medical coding is crucial for proper billing, reimbursement, and overall patient care. As the healthcare industry continues to evolve, artificial intelligence (AI) is emerging as a game-changing technology in the field of medical coding. We inspect how AI is revolutionizing the medical coding process, improving accuracy, and boosting efficiency in ways that […]
AI, AI Bot, AI Coding, AI in Healthcare, AI into RCM, AI Medical Coding, AI Models, AI RCM, AI-driven RCM, Coding, coding and billing, medical coding, Natural Language Processing
Medical billing stands as a critical component that continues to evolve rapidly. As we progress through 2024 and beyond, the landscape of medical billing is being reshaped by technological advancements, regulatory changes, and shifting patient expectations. We’ll inspect the current trends that are transforming the medical billing industry, their implications for healthcare providers and patients, […]
AI, AI Models, AI RCM, AI-driven RCM, artificial intelligence, Cybersecurity, Interoperability, Medical Billing Trends, Patient-Centric, Patient-Friendly, telehealth, Telehealth Billing, Transparency, Value Based Care, Value-Based, Value-Based Care Models
The landscape of medical billing is undergoing a rapid transformation as we approach 2025. Driven by technological advancements, changing patient expectations, and evolving healthcare delivery models, the traditional approaches to medical billing are being revolutionized. We aim to explore the emerging trends that are reshaping the medical billing industry, offering insights into how healthcare providers, […]
AI, artificial intelligence, automated billing, Automation, billing, Billing Automation, Blockchain, Blockchain in Healthcare, Blockchain Technology, Cybersecurity, Data Interoperability, FHIR, Health Level 7, HL7, Machine LearningSo you run a medical practice or healthcare facility. Congrats, you’re doing important work that helps keep people healthy. But have you put much thought into your medical billing workflows? If not, you really should. Billing is the lifeblood that keeps a healthcare operation afloat financially. It’s how you get paid for the vital services […]
AI, Automation, billing, Billing Workflows, Financial Visibility, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Medical Billing Workflows, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, RPARevenue cycle management (RCM) is a crucial part of running any healthcare organization. It involves everything from patient registration and eligibility verification to medical coding, charge capture, claims submissions, payment posting, denial management, and more. The goal is to maximize reimbursements while reducing costs and inefficiencies. In recent years, artificial intelligence (AI) has emerged as […]
AI, AI Bot, AI Coding, AI into RCM, AI RCM, artificial intelligence, Automated Appeal Letters, Automation, billing, healthcare, Healthcare Billing, Machine Learning, Medical, Medical Billing, NLP, rcm, RCM Automation, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization
Medical practices are constantly looking for ways to improve efficiency and increase revenue. Yet many practices are still relying on manual, paper-based billing processes that are tedious, error-prone, and time-consuming. In today’s digital age, automated medical billing is a must for any practice that wants to streamline operations, get paid faster, reduce denied claims, and […]
AI, artificial intelligence, automated billing, automating billing, billing, Billing Automation, Cloud-based automation, EHR, Healthcare Billing, Medical, Medical Billing, Medical Billing Automation, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Robotic Process Automation, RPAAt 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 […]
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
Artificial intelligence has moved from hype to mainstream adoption across healthcare, unlocking new possibilities for improving patient outcomes, experiences, and access to care. Below, we’ll explore 12 impactful real-world use cases showing exactly how healthcare providers are leveraging different AI models to enhance clinical workflows, augment decision making, streamline operational processes, and advance precision medicine. […]
AI, AI Diagnostic Models, AI Models, artificial intelligence, Data Management, healthcare, Healthcare AI, Healthcare Use Cases, HIPAA, KPIs, Medical, Medical Use Cases, Patient Care, Use CaseRobotic 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, […]
AI, artificial intelligence, Automation, Billing Automation, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Automation, Revenue Cycle Management, revenue cycle optimization, Robotic Process Automation, RPAFor modern healthcare practices, efficient and accurate medical billing operations are essential to financial success. However, manual billing processes can be time-consuming, error-prone, and make it difficult to scale. Automating key steps in the medical billing workflow brings game-changing improvements in productivity, reduction of costly claim errors, accelerated revenue cycles, and optimized billing costs. Benefits […]
AI, healthcare, Healthcare Billing, Intelligent automation, Manual Billing Workflow, Medical, Medical Billing, Medical Billing Automation, Medical Billing Robotic Process Automation, Medical Billing Service, Revenue Cycle Management, revenue cycle optimization, Robotic Process Automation, Robotic Process Automation Billing, RPA
In the wake of months of social distancing and virtual visits during the COVID-19 pandemic, patients are once again veering towards a need to see their physicians in person. As patient volume recovers, it’s a great time to take a look at a healthcare practice’s Revenue Cycle Management (RCM) program and make sure it’s still […]
AI, artificial intelligence, artificial intelligence healthcare, Covid, COVID-19, Data Security, Machine Learning, Medical Billing, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimizationExample of 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 […]
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, RPAArtificial Intelligence (AI) in Healthcare Advantages and Disadvantages of Using Artificial Intelligence (AI) in Healthcare 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 […]
AI, AI healthcare, AI medical, artificial intelligence, artificial intelligence healthcare, healthcare, Healthcare KPIs, Healthcare Outcomes, Medical BillingMedical Billing Techniques that Can Be Installed to Help Your Medical Practice Health care providers should periodically review their financials and revenue cycle, so that they can take corrective measures at the earliest if required. A great deal of medical offices / health care providers find that medical billing is one area which could be […]
AI, Automation, EHR, medicaid, Medical Billing, medicare, MIPS, Outsource Medical billing, Pittsburgh Medical Billing