Claims & Contract Management

Improve accuracy and timeliness of net receivables

Highlights from the 2015 Financial Performance Summit...

Posted on Dec 02 2015 by
A big thank you to all our clients who “rocked” the Experian Health 2015 client Financial Performance Summit, November 16-18, in San Antonio. Fueled by a rock-n-roll theme (and energy level), this three-day conference, “Legends: Experience the Journey from Ordinary to Legendary,” was truly legendary! Highlights from this year’s Summit included: Nearly 250 Experian Health clients in attendance Numerous...

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The Secret to Decoding Insurance Payments and Contracts...

Posted on Apr 30 2015 by
In the 1930s, Ovaltine offered listeners of the Little Orphan Annie radio program a membership badge with a decoder ring that allowed listeners to replace numbers with letters and figure out secret messages – which usually urged them to drink Ovaltine.. Fast forward to 2015, and a decoder ring can be bought online for under $20. Unfortunately, these trinkets aren’t sophisticated enough to help practices and hospitals...

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Better Insight Yields Better, Faster Claims Payments...

Posted on Nov 05 2014 by
It’s only natural to want to be fairly, fully and quickly reimbursed for services – it’s the basic foundation of business. Yet only in healthcare does attaining this basic transactional norm become challenging. Healthcare providers must be vigilant at all stages in the revenue cycle to ensure the amount they receive is timely and accurate. Achieving this deceptively simple goal is dependent upon insight – the...

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Take control of the reimbursement process: Leverage data and...

Posted on Jan 16 2014 by
By all accounts, healthcare reimbursement is complex. Given the highly specific contract terms between thousands of providers and payers, there are bound to be situations where payer compliance falters and payments are not accurate. In fact, national payers make approximately 500 payer policy changes a year, which only adds to the complexity. As organizations strive to manage multiple payer contracts, varying reimbursement...

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Where’s the data? Realizing your revenue cycle’s true po...

Posted on Oct 31 2013 by
Remember those commercials for the hamburger chain in the mid-1980’s? An elderly lady angrily shouted, “Where’s the beef?” in response to seeing a tiny burger on a large, fluffy bun. If that same creative concept were applied to healthcare today, perhaps the lady would proclaim, “Where’s the data?” when looking at the revenue cycle. While healthcare as a whole is moving toward using clinical data and...

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    About The Experian Health Blog

    The purpose of the Experian Health blog is to provide healthcare organizations with information to improve business operations and financial performance through accurate payer reimbursement and efficient patient collections.

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