The Complete Guide to Medical Billing Pricing Trends: What’s Driving the Race to the Bottom in 2025 Medical billing pricing has undergone dramatic transformations over the past two decades, with industry professionals witnessing a consistent downward pressure on rates that shows no signs of stopping. Understanding these pricing dynamics is crucial for both billing companies […]
Should You Buy Another Medical Billing Company to Grow? A Strategic Guide for Revenue Cycle Management Leaders The medical billing industry is experiencing unprecedented growth, with acquisitions becoming an increasingly popular strategy for companies looking to expand their market share and capabilities. However, the decision to buy another medical billing company to grow requires careful […]
Why Every Medical Billing Company Should Adopt Centralized Medical Billing Software In today’s rapidly evolving healthcare landscape, countless medical billing companies still operate using their clients’ individual systems—a practice that’s not only inefficient but also severely limits growth potential. Centralized medical billing software represents a fundamental shift in how billing operations should function, moving away […]
Payer RCM API: The Reality Behind United Healthcare’s New Capabilities and What It Means for Healthcare Billing The healthcare industry is buzzing with excitement over United Healthcare’s recent announcement about opening up their payer RCM API. With webinars, conferences, and articles touting this as a revolutionary advancement, many healthcare providers and billing companies are wondering […]
The Future of Medical Billing: From Service-Focused to Technology-Driven The medical billing industry is undergoing a profound transformation. What was once a purely service-oriented business is rapidly evolving into a technology-driven ecosystem. This shift represents not just an operational change but a fundamental reimagining of how revenue cycle management (RCM) functions in healthcare. In this […]
HBMA Innovation Conference: Should You Go? The Healthcare Billing Management Association (HBMA) is hosting its annual HBMA Innovation Conference next month in March. This appears to be the second or third year of the event, focused on revenue cycle management innovation and technology. As someone who recently served on both the Innovation Committee and Data […]
EHR Automation Legality: Can Vendors Stop You From Scraping Your Own Data? We recently explored whether practice management systems and electronic health record (EHR) vendors could legally prevent you from extracting your own data via automated tools like RPA (Robotic Process Automation) scraping. The question of EHR automation legality has become increasingly important as healthcare […]
Scraping EHR Data – Can Vendors Stop Your Bots? Over the years, I’ve had numerous discussions about whether Electronic Health Record (EHR) vendors can legally prevent healthcare organizations from accessing their own data through automated means. This question about scraping EHR data has significant implications for both medical practices and revenue cycle management companies seeking […]
Medical Billing Automation Challenges Medical billing automation offers enormous potential to streamline repetitive tasks in healthcare revenue cycle management (RCM). Despite its promise, the adoption of automation in medical billing has been slower than expected. While awareness of automation and AI is widespread, the industry faces several challenges that have hindered its progress. Understanding Automation […]
I attended the HBMA 2024 annual conference in Austin a couple of weeks ago, and the focus on technology, especially medical billing automation, was stronger than ever. Over the last 15+ years, I’ve never seen so many presentations and talks about automation and artificial intelligence (AI) in healthcare revenue cycle management. While some of the […]
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