Case Studies

Video Summary

In this webinar, ABS CEO Adam Phillips and host Eric tackle the question every medical billing professional is asking: will AI take over medical billing? Their answer: AI is a tool, not a takeover. Drawing on recent coverage from Becker’s Hospital Review, the AMA, and Newsweek, they explain why every past technology shift in billing, from typewriters to practice management software to mandatory EHRs, was supposed to eliminate the biller, and why it never did.

The key distinction: AI handles the routine, repeatable work. Eligibility checks, code suggestions, claim scrubbing, and claim status tracking can run automatically in the background. But the work that actually determines whether a practice gets paid stays human: fighting denials and appeals, negotiating with payers, handling complex coding, and exercising judgment on behalf of doctors and patients. With payers now using AI to deny more claims, that expertise matters more than ever.

Adam also shows how ABS business owners use the AI tools built into their iClaim platforms to help serve more clients without adding staff, plus a new AI-driven local market analysis that pinpoints the best practices to target in any area.

Key takeaways:

• AI will transform revenue cycle management, but it will not replace billing professionals. “Human in the loop” is becoming the industry standard.
• According to AMA survey findings released in 2025, 61% of physicians were concerned that health plans’ use of AI was increasing prior authorization denials.
• Denials, appeals, payer negotiations, compliance, and complex coding still require human judgment. AI can hallucinate; accountability stays with a person.
• Billing businesses that master the AI tools inside modern platforms can serve more doctors and grow revenue without hiring staff.

Read More about AI: How Will It Affect Medical Billing?