How to Get Real RCM AI ROI: Beyond the Hype For those looking to invest in artificial intelligence (AI) within revenue cycle management (RCM), whether you’re a medical billing company or the billing department of a large healthcare provider, measuring RCM AI ROI can be challenging amid all the industry hype. With constant shifts from […]
Stop Expecting Miracles from Medical Billing AI There’s a growing expectation that artificial intelligence will revolutionize the revenue cycle management industry overnight. Whether driven by fear of industry disruption or hope for instant solutions, many healthcare organizations are looking to medical billing AI as a magical remedy for longstanding challenges. However, this mindset overlooks the […]
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 […]
The Future of Medical Billing: AI Agents The landscape of medical billing is rapidly evolving, with artificial intelligence playing an increasingly significant role. While generative AI dominated conversations in 2023 and 2024, a more transformative technology is emerging as the future of revenue cycle management (RCM): medical billing AI agents. Beyond Generative AI: The Rise […]
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 […]
Challenges in Medical Billing Automation 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 […]
Why Voice AI in Medical Billing is Outpacing Analytical AI Adoption While analytical artificial intelligence (machine learning / ML) has been around much longer and offers broader potential applications for revenue cycle management, voice AI in medical billing is being adopted at a surprisingly rapid pace. This trend might seem counterintuitive given the structured nature […]
AI in Payer RCM: A Love-Hate Relationship Artificial Intelligence (AI) in payer revenue cycle management (RCM) is like that overly enthusiastic intern who denies every vacation request you submit because “policy says so.” Sure, it can be efficient, but it’s also creating a lot of headaches. Case in point: the recent spotlight on UnitedHealthcare’s AI […]
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 […]
HBMA Webinar – “Building an RCM Technology Powerhouse: Starting with Denials” There is so much opportunity in RCM technology…You could set up interfaces to get data from your clients, build a practice management system for billing, create a killer analytics platform, or even develop an AI solution. Excited to announce my upcoming webinar for the […]
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