The buzz around automation in healthcare billing has never been louder. As we move through 2025, phrases like “AI-driven billing,” “end-to-end automation,” and “smart claims processing” dominate the conversations in boardrooms, billing departments, and trade shows. But beneath the marketing jargon, many in the revenue cycle world are asking: What’s actually working—and what’s just noise? […]
During pediatric cardiology internship, witnessed this firsthand. A claim filed nearly a year earlier remained unpaid. The initial denial was due to a missing prior authorization number, a detail buried within the EMR. Unfortunately, the outsourced healthcare billing team took months to decipher this information, causing significant delays in reimbursement. This year-long ordeal highlights the […]