All posts by Kelly Nguyen
Calculating patient responsibility in medical billing requires accurate, real-time data on coverage, benefits and payer rules. This article explains how patient financial responsibility is determined, why inaccurate estimates lead to delayed care and rising bad debt, and how providers can improve patient cost estimation.
Experian Health’s State of Patient Access 2026 survey shows that timely access to care is the number one priority for patients. This article explains what patient access is, what makes it challenging, and how digital tools can help providers improve accuracy, efficiency and patient satisfaction.
When patient eligibility verification is conducted diligently and accurately, providers see improved cash flow, more staff efficiency and less 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.
Claim scrubbing technology helps healthcare providers submit clean, accurate claims from the start - improving accuracy, reducing denials and maximizing reimbursements.
Automated prior authorization solutions streamline workflows, simplify management across payer systems and offer advanced features to reduce manual effort — helping providers minimize denials and improve overall efficiency.
Denial management is the process of addressing why healthcare claims are rejected or denied, instead of resolving them after they occur. This article explores denial management strategies, why outdated processes fail and how AI-driven solutions can help reduce denials and streamline workflows.
Top reasons for healthcare claim denials include missing or inaccurate data, lack of prior authorizations, and incomplete patient registration.
As the healthcare industry prepares for the implementation of the One Big Beautiful Bill Act (OBBBA), it’s clear that readiness is not one-size-fits-all. Hospitals are leading the way, but most providers will need focused updates to their Medicaid/Medicare processes to ensure compliance and protect revenue. In October 2025, Experian Health surveyed 200 healthcare decision-makers to get a better understanding of their readiness levels, where they’ll be impacted and what they’re focusing on, following implementation of the OBBBA. Here are the results: To prepare for incoming changes from the OBBBA, revenue cycle leaders will need to accelerate their adoption of artificial intelligence (AI) and automated solutions. AI-powered tools, like Patient Access Curator, can help providers streamline insurance eligibility checks and improve claims accuracy. Other tools, like Patient Financial Clearance, can help providers support their patients and minimize risks from uncompensated care. Is your revenue cycle team ready for OBBBA? Join us for an engaging and actionable three-part live webinar series to learn how to protect your financial performance before 2026 reforms take effect. Save your spot > Find out how Experian Health's revenue cycle management solutions can help your healthcare organization navigate upcoming regulatory shifts and changes. Learn more Contact us