Tag: patient access
Modern revenue cycle optimization leverages AI and automation to help healthcare organizations capture revenue and maintain a healthy cash flow. This article outlines proven strategies for streamlining operations across the revenue cycle — from patient access and collections to claims and payer contract management.
Memorial Health used Registration QA (RQA) to boost claims performance, ease pressure on staff and improve the patient billing experience. Within six months, final-pass accuracy jumped from 60% to 97% and eligibility denials fell below 1%.
Propensity-to-pay models use predictive analytics to help healthcare organizations understand patient payment behavior. Learn how providers can leverage these tools to prioritize collections, improve cash flow and reduce bad debt.
Widespread adoption of AI in healthcare revenue cycle management is growing, according to Experian Health’s latest survey. But many providers feel that human oversight still plays a critical role. Discover insights on key trends, use cases and barriers to AI’s evolving role in RCM.
Revenue cycle management (RCM) teams are facing a year of major change, with new regulations, tighter margins and the adoption of artificial intelligence (AI) increasing the pressure on workflows. This article outlines Experian Health’s five RCM predictions for 2026, along with tools to consider when building a resilient revenue cycle.
Hospitals that treat Medicaid patients should update their eligibility and billing systems now to prepare for the One Big Beautiful Bill Act (OBBBA), which will bring major changes to Medicaid.
Nearly two-thirds of healthcare providers now use artificial intelligence (AI) in their revenue cycle management (RCM) processes, according to Experian Health’s latest survey. Discover key insights on AI’s evolving role in healthcare, including barriers and top use cases.
Manual insurance eligibility checks are slow, error-prone and a leading cause of claim denials. Find out how automated insurance verification delivers real-time accuracy, fewer billing errors and faster reimbursements — helping providers protect revenue and improve patient care.
Experian Health’s 2025 High-Performance Summit was a catalyst for collaboration, innovation and a shared commitment to simplifying healthcare – for both providers and the patients that they serve.