I was recently at the HFMA 2025 Conference focused on Revenue Cycle Management. Much of the talk was around AI which included a keynote address from Zach Kass formerly of…
Claim statusing is a vital component of revenue cycle management, ensuring healthcare providers receive timely reimbursements for the services they deliver. However, the traditional manual approach to tracking claims can…
Agentic AI can significantly streamline the processes of prior authorizations and claims for healthcare providers by automating and optimizing various tasks. Here are some keyways it can be utilized: Prior Authorizations…
We’ve all heard it—AI is going to revolutionize healthcare. It’ll predict diagnoses, optimize billing, streamline prior auths, and even tell your doc when it’s time to refill your prescriptions. Sounds…
There is an ongoing war between Healthcare Providers and Payers. A majority of insurance companies are using AI to process and deny claims. Generally speaking, providers are using AI at…
In the fast-moving world of RPA and AI-driven SaaS solutions, redundancy isn’t just a backup plan—it’s a necessity. Whether it’s infrastructure, code, or human resources, ensuring smooth transitions and minimizing…
It’s easy to get lost in the “noise” around the term Artificial Intelligence (AI) everyone is talking about it, businesses, government entities, school-aged children, and young adults. It’s on social…
The 340B Drug Pricing Program, established by the U.S. government in 1992, is designed to help healthcare organizations serving vulnerable populations by providing them with significant discounts on outpatient drugs.…
In today’s rapidly evolving technological landscape, terms like “desktop automation” and “artificial intelligence (AI)” are often used interchangeably. However, they represent distinct concepts with unique applications and capabilities. Understanding the…
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