Overcoming Barriers to Innovative Care and Streamlining the Patient Journey In today’s increasingly digitized world, the gap between what’s possible in medical innovation and what’s accessible to both surgeons and patients continues to widen. For surgeons, integrating new technologies into their practice comes with a set of challenges that exacerbate existing issues such as burnout, […]
The Fax Machine Is Still King, But It’s Burying Your Referrals Here’s an uncomfortable truth about specialty practices: the fax machine isn’t going anywhere. Across all surgical specialty groups, faxes remain a primary new patient channel. Primary care physicians, urgent care clinics, and others still rely on that familiar hum of the fax machine to […]
Last week, I had the honor of speaking at the American Rhinologic Society Summer Sinus Symposium in San Diego. What began as a conversation about AI’s promise quickly turned into a candid reckoning with its misuse—specifically, how insurance companies are now deploying generative AI to block access to medically necessary care. The conversations I had—with […]
July 2025 Executive Summary Across both public and private payers, prior-authorization (PA) denials are increasingly undermining market access for innovative medical technologies. New data show PA rejection rates ranging from 6% to over 30%, particularly in high-tech outpatient and DMEPOS categories. Worse, most denials are never appealed—and even fewer are reversed. AI-based screening tools now […]
Let’s Declare Our Independence—from the EHRs That Broke American Medicine For over a decade, electronic health record companies have promised to modernize care. What they delivered instead was bureaucracy, burnout, and a system optimized for billing, not healing. In chasing data compliance over clinical clarity, these platforms stripped the soul from the exam room and […]
I talk with surgeons every day who are looking for immediate AI solutions that are game-changing—not someday, but right now. In a typical medical practice, a significant number of patient calls go to voicemail (20% to 40%) and a large portion of callers who reach voicemail don’t leave messages (~80%). Missed calls are a huge […]
Why You Should Stop Asking if an AI Application Integrates With Your EHR Embracing an AI-First Mindset in Surgical Practice In today’s rapidly evolving healthtech landscape, surgical practices face a pivotal crossroads: continue bolting new modules onto legacy EHR systems or architect every aspect of care delivery around a centralized, autonomous AI agent. The former […]
Most Clinics Don’t Know Their True Cost Per Scheduled Patient Ask most Surgeons or healthcare marketers what their actual cost per booked patient is and you likely won’t get an answer, at best you’ll get guesses. Without reliable tracking, it’s nearly impossible to tie ad spend to actual scheduled patients. At Nemedic, this always bothered […]
Short Running Title: AI-Driven Triage for Chronic Sinusitis Authors: Bradford G. Bichey MD MPH (Corresponding Author) (ORCID ID: 0009-0006-7293-666X) Andrew R. Bichey II, BA, Juan V. Rangel Abstract Rationale: Surgical triage for elective chronic sinusitis management often suffers from workflow inefficiencies, prolonged wait times, and administrative burdens. This quality improvement initiative addresses the inefficiencies in […]
Artificial Intelligence (AI) is no longer a futuristic concept—it’s a daily reality impacting nearly every sector, including healthcare. From tech giants like Google to major insurance providers, AI tools have rapidly become indispensable, reshaping competitive landscapes and redefining industry standards. For surgical practices, recognizing and integrating AI is no longer optional—it’s essential for staying relevant, […]
Deciding when—and when not—to engage in a peer-to-peer review is critical for surgeons navigating today’s increasingly complex prior authorization (PA) environment. Initial PA denials have risen sharply in recent years, amplifying administrative overhead and driving physician burnout. Before you consider opting out of more insurance panels or defaulting to another PA submission, recognize that not […]