Social Media Ideas for Ai In Medical Billing

American Medical Association's New AI Billing Codes Draw Nursing Opposition and Raise Broader Questions about AI Reimbur...

AI medical billing could end the paperwork madness

I hate how hard it is for doctors to get paid today. I know I’m not alone. I doubt there are any physicians or practice managers in the U.S. who feel like this current process of c...

Can AI in risk adjustment be trusted to code accurately?

Health care’s relationship with artificial intelligence (AI) often swings between two extremes: enthusiasm and anxiety. On one hand, AI is helping clinicians reduce administrative...

The Code Gets You Paid — The Variant Gets You Treated

The between a code that satisfies a payer and the information a physician needs to treat a person, is what nearly every healthcare AI tool is racing past. As we push these systems...

GenHealth.ai Raises $16.5 Million Series A to Build AI Agents That Run the Medical Back Office

Flare Capital Partners leads the round, bringing total funding to $30 million. GenHealth's AI agents complete intake, eligibility, prior authorization, billing, and denials inside...

When AI in claims review overcalls a valid claim

A medical emergency call is never just a phone call. On the other side of the line, there may be chest pain, shortness of breath, trauma, fear, confusion, or a family member trying...

GenHealth.ai secures $16.5M in series A for back-office AI agents

GenHealth.ai’s agents automate revenue cycle workflows end-to-end across EHRs, payer portals and more.

AI and Automation Are Reshaping Revenue Cycle Management

Anurag Mehta, Chief Executive Officer and Cofounder at Omega Healthcare, has seen a 10-20% increase in human productivity through AI in revenue cycle management (RCM), and expects...

Before You Sign That AI Contract: 7 Questions Every Healthcare CFO Should Ask

Here’s how finance leaders can evaluate AI investments in revenue cycle management before committing budget, and the risk exposure most vendor pitches leave out. The post Before Yo...

AI Is Being Used to Boost Medicaid Enrollment, but Not Without Concerns

Ahead of Medicaid work requirements, a health plan in California hopes to stanch the number of people losing coverage by using an AI program to schedule appointments and remind enr...

Lessons from CHIMA: Coding for Clinical Care Instead of Reimbursement

Health information management in Canada looks completely different without the constant friction of claims rejections and payer battles. By coding strictly for patient care rather...

Cotiviti Launches AI Solution to Address Coordination of Benefits Issues

Cotiviti launched an AI-powered coordination of benefits solution that uses enrollment data to identify and resolve coverage issues before claims are submitted. The post Cotiviti L...

Prior authorization automation has an arithmetic problem

Wael Khouli wrote here on July 26 that AI will not replace physician advisors, volume will. He is right, and his argument applies elsewhere in the clinic to the people who build pr...

What Is Healthcare Billing Software Innovation: A Complete Guide!

This complete guide will explain what healthcare billing software innovation is, how it works, why healthcare organisations need innovative billing ... Read more The post What Is...

Will AI fix prior authorization—or make it worse?

The government is piloting a program that uses AI for insurance-coverage decisions.

How Clinical, Billing, and Payer Systems Interoperability Challenges are Impacting Revenue Cycle Efficiency

The world of healthcare is extremely complex, and as such, has been divided into many, many fields and specialties. For example, for an average appointment to get a prescription, y...

AI Search Engineers Introduces Answer Engine Optimization Services for Medical Practices, Documenting the AI Search Visi...

Internal analysis from AI Search Engineers identifies the medical industry as one of the most significant untapped AI search opportunity categories in professional services, with m...

Rethinking RCM in an era of payer complexity and AI

Revenue cycle management has historically been labor intensive, demanding work. What has changed is the pace at which it is getting harder.

Employer health costs near 15-year high as billing pressures mount

Segal's 2027 survey finds medical and Rx trends near a 15-year high, with AI billing adding new risk

AI Search Engineers Introduces Answer Engine Optimization Services for Medical Practices, Documenting the AI Search Visi...

Patients researching physicians, specialists, and healthcare providers are increasingly using AI platforms as their first research tool, asking ChatGPT, Google Gemini, and Microsof...

AMA introduces Ethical AI Use in Medicine Series

The American Medical Association (AMA) today announced the Ethical AI Use in Medicine Series, a new continuing medical education (CME) program that helps physicians safely, effec...

The ‘Bot Vs. Bot’ Dynamic Between Providers & Payers Is Driving Up Costs for Everyone

HSS chief digital and information officer Ashis Barad, who has worked on both the payer and provider sides of healthcare AI, thinks the industry’s growing “bot vs. bot” battle over...

Most health plans use AI but few have policies to govern it

A new index finds 60% of payers have employees using shadow AI tools, while fewer than half feel prepared for AI-assisted cyber incidents

R1 acquiring Humata Health to bolster AI-powered prior authorizations

Humata’s AI-powered solution has allowed physicians to achieve a 96% first-pass approval rate while reducing write-offs by 30%, executives say.