Medwave Billing & Credentialing
  • Facebook
  • Instagram
  • Linkedin
  • Twitter
  • YouTube
  • RSS
Call, Text: (412) 219-4789
  • Medical Credentialing
  • Payer Contracting
  • Rate Negotiation
  • Billing
  • Specialties
  • Blog
  • Contact

Posts tagged "AI"

What the Federal AI Policy Framework Means for Healthcare

April 25, 2026 / Alex J. Lau / Artificial Intelligence
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 […]

Read More

AI, 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 / Medical Billing
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 […]

Read More

AI, Cybersecurity, Interoperability, Price Transparency, Prior Authorization, Telehealth Billing

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

Healthcare’s data morality has reached a crossroads where artificial intelligence 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 of medical care itself. The […]

Read More

AI, AI-Powered Healthcare

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

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

FHIR® pronounced “fire,” is the latest standard for exchanging healthcare information electronically, developed by Health Level Seven International (HL7). Unlike its predecessors, FHIR uses modern web technologies and APIs to create a more flexible, accessible, and developer-friendly approach to healthcare data interoperability. This next-generation standard uses RESTful web services, making it easier for healthcare systems […]

Read More

AI, Data Exchange, Fast Healthcare Interoperability Resources, FHIR, HL7, Interoperability

2025 CPT Code Changes: Digital Health, AI and Category III Codes

November 12, 2024 / Alex J. Lau / AMA, CPT Codes
AMA New CPT Codes for 2025

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 is the foundation for medical billing and documentation across the United States, […]

Read More

AI, AMA Intelligent Platform, Artificial Intelligence, CPT & RBRVS 2025 Annual Symposium, CPT Code Update, Remote Therapeutic Monitoring (RTM)

Recent Posts

  • Optum logo in orange lettering

    A Guide to Provider Credentialing with Optum

  • Medical billing specialist wearing a headset reviews a fee schedule and claims spreadsheet at her desk beside ICD-10 coding books in a busy clinic

    Fee Schedule Drift: What Changes When You’re Not Watching

  • Blue Cross Blue Shield (BCBS) Credentialing

    BCBS Credentialing by State: What Changes and What Doesn’t

  • Management Service Organization (MSO) CEO

    Management Services Organizations: What Private Practices Need to Know Before Signing

  • Payer Contracting Scene. A Provider and Payer.

    In-Network vs. Out-of-Network Contracting: Which Pays More for Your Specialty?

  • Provider Credentialing Specialist

    Why You Can’t Bill What You Can’t Credential

Practices Served

  • Behavioral Health
  • DME
  • Primary Care
  • Pediatrics
  • Psychiatry
  • Home Health
  • Pain Management
  • Plastic Surgery
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Emergency Medicine
  • General Surgery
  • Dermatology
  • Cardiology
  • Radiology
  • Urgent Care
  • Anesthesiology
  • Orthopedic & Rheumatology
  • ENT (Otolaryngology)
  • Hospital Medicine
  • Genetic Testing
  • Geriatric Medicine
  • Gastroenterology
  • Pulmonology
  • Pharmacogenetic (PGx)
  • Urology
  • Colorectal Surgery
  • Fertility Preservation
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • Forensic Pathology
  • OBGYN
  • Nephrology
  • Internal Medicine
  • Podiatry
  • Neurology
  • Telestroke & Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Speech Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • Biologics & Specialty Drugs

HIPAA Compliant

Services

  • Medical Credentialing
  • Recredentialing
  • Payer Contracting
  • Rate Negotiation
  • Medical Billing
  • Telehealth Billing
  • Denial Management
  • A/R Recovery
  • Revenue Cycle Consulting

Resources

  • CAQH ProView Form
  • On-Boarding Documentation Checklist
  • Credentialing Use Cases
  • Credentialing Turnaround
  • Blog
  • FAQ
  • Videos
  • Podcast
  • Glossary of Terms

Recent Posts

  • Optum logo in orange lettering

    A Guide to Provider Credentialing with Optum

  • Medical billing specialist wearing a headset reviews a fee schedule and claims spreadsheet at her desk beside ICD-10 coding books in a busy clinic

    Fee Schedule Drift: What Changes When You’re Not Watching

  • Blue Cross Blue Shield (BCBS) Credentialing

    BCBS Credentialing by State: What Changes and What Doesn’t

  • Management Service Organization (MSO) CEO

    Management Services Organizations: What Private Practices Need to Know Before Signing

  • Payer Contracting Scene. A Provider and Payer.

    In-Network vs. Out-of-Network Contracting: Which Pays More for Your Specialty?

Company

  • About Medwave
  • Who We Serve
  • Billing / Credentialing Specialties
  • Regions Served
  • Book a Consultation
  • Testimonials
  • Pricing
  • New Practice

Legal / Trust

  • HIPAA Compliance
  • Privacy Policy
  • Sitemap
  • Google Reviews

Quick Connect

  • (412) 219-4789
  • Fax: (866) 422-9277
  • Contact Us
    • Linkedin
    • YouTube
    • Facebook
    • Twitter
    • Pinterest
    • Instagram

Medwave @ Goodfirms

Medwave | Alignable

Medwave is HIPAA CompliantMedwave SOC 2, Type 2

All Systems Operational

© 2026, Medwave Billing & Credentialing | Cranberry Township, PA, 16066 | Phone: (412) 219-4789