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From Audits to Savings: How AI Reduces Provider Abrasion in Payment Integrity
April 8, 2025
Traditionally, payers have cast wide nets, reeled in countless irrelevant claims, and asked providers to navigate bureaucratic hurdles over minor clerical oversights only to claw back money after the payment has been made. Thankfully, we now have a smarter partner: Artificial Intelligence (AI).
The latest in healthcare intelligence
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Payment Integrity in 2025: Finally, a Smarter Way Forward
Inefficient claims review processes, audits that frustrate providers, and billions of dollars wasted on inaccurate payments have plagued the healthcare industry for years. Now, with AI, there’s a smarter way forward.
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KevinMD | How AI Can Eliminate Bias and Inefficiency in Health Care Billing
In this podcast, Tim explores how deeply embedded incentives, inefficiencies, and subjectivity in the current claims adjudication process create opportunities for manipulation and inefficiency.
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From Audits to Savings: How AI Reduces Provider Abrasion in Payment Integrity
Traditionally, payers have cast wide nets and asked providers to navigate hurdles only to claw back money after a payment has been made.
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Health IT Answers | The Physicians Make Decisions Act is AI Regulation Done Right
The last decade has seen AI’s escalating impact on a variety of industries take shape, and perhaps no vertical has been impacted as much as healthcare.
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Demystifying the Complexities of Pre-Payment for Long-Term Business Success
Strategies for Successful Adoption of Pre-Payment Solutions
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The Art and Science of Translating Clinical Guidelines for AI: Hard Lessons from the Trenches
Translating clinical guidelines into AI-compatible formats requires understanding the guideline’s intent and how AI applies rules at scale.
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Three Reasons AI in Healthcare Isn’t All It’s Cracked Up to Be
Artificial Intelligence (AI) is often hailed as the savior of healthcare, but can it really handle modern medicine? Here are three big reasons AI might stumble before it soars.
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Machinify Unveils New Brand Identity
We’re building a healthcare intelligence company that delivers unmatched value, transparency, and efficiency to payers across the country.
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Federal Changes to AI Guardrails: What You Need to Know
New executive orders prioritize rapid artificial intelligence (AI) innovation and reduced regulatory insight. How do these changes impact payers?
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AI Foundations Pt. 1: An Operating System for AI in Healthcare
We need an operating system for AI: a framework that ensures transparency, control, and real impact. What would that look like? Let’s break it down, layer by layer.
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Is Healthcare Having a Kodak Moment?
Healthcare is now facing its own innovator’s dilemma. Can the healthcare industry adapt or will it continue to cling to fax machines?
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A Closer Look at the Physicians Make Decisions Act (PMDA)
Explore how the new Physicians Make Decisions Act (PMDA) is reshaping conversations around liability, ethical boundaries, and the integration of AI into clinical practice.
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