medical billing
medical billing

AI and Human Oversight: A New Era in Reducing Medical Billing Errors

Billions of dollars are lost annually in medical billing errors resulting from data entry mistakes, outdated coding practices, and duplicated charges. Artificial Intelligence (AI) and Machine Learning (ML) are revolutionizing the process of claims processing, diagnostics, eliminating errors, streamlining workflow, and increasing the accuracy of claims submissions. Together with human oversight to ensure precision and safety, AI augments healthcare professionals to improve patient care and outcomes.

Continue reading

Navigating the Medicare Maze: How Innovative Technology is Modernizing Benefits Verification During Open Enrollment

By Andrew Mignatti

In the face of sweeping Medicare changes for 2025, millions of seniors face the challenge of navigating a complex landscape of new options, increased costs, and altered benefits. Innovative technologies are emerging as crucial tools for both patients and healthcare providers, offering detailed cost comparisons, network analyses, and benefit breakdowns.

Continue reading

Supply Chain Management
Supply Chain Management

Hospital Supply Chain – Take Charge

By Rob Sobie

Modern interoperable systems, data centralization, and a wide-angle view of inventory and usage trends are providing hospitals to proactively switch from a “push” to a “pull” supply chain management, allowing for active real-time inventory management and sourcing based on need.

Continue reading

GenAI
GenAI

Personalized Care with GenAI-powered risk stratification benefits the care delivery model

By Yunguo Yu

The value-based care model, with a substantial monetary budget, necessitates on-time and correct risk stratification. As a result, new and incumbent care providers and payers are reinventing healthcare delivery, looking towards cutting-edge GenAI and machine learning technology to radically transform the healthcare delivery paradigm. This article explores how GenAI and machine learning-based risk stratification are revolutionizing a new era of personalized care, resulting in improved healthcare functions for payers and providers.

Continue reading