All posts by Kelly Nguyen
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.
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 This article explores denial management strategies, why outdated processes fail and how AI-driven solutions can help reduce denials and streamline workflows.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.
When it comes to artificial intelligence (AI) usage in the healthcare industry, adoption is steadily gaining momentum as providers explore new ways to utilize this technology in their revenue cycle management (RCM) processes. While full trust in AI remains limited, especially for high-stakes decision-making, confidence is rising. Privacy, security, and implementation costs continue to pose significant challenges. However, providers broadly agree that AI will become a cornerstone of healthcare RCM in the next few years, especially in areas like eligibility verification and patient access. Many also acknowledge that human oversight will remain essential, to ensure accuracy and trust. In October 2025, Experian Health surveyed 200 healthcare leaders to better understand how much they trust AI for decision-making, their biggest barriers to adoption, and where the opportunities lie. Here are the results: AI in healthcare RCM isn’t the future; it’s happening now. Learn how healthcare organizations are using Experian Health’s AI technology to streamline patient access and reduce claim denials. Learn more Contact us
AI and automation are transforming the claims management process. By streamlining workflows and minimizing errors, these technologies can help providers reduce denials, enhance operational efficiency and improve patient access to care.
Denied claims are rising fast, putting revenue and patient trust at risk. Automated claims management and AI-enabled tools are becoming essential for providers to reduce denials, accelerate reimbursements and improve operational efficiency.
Automated authorizations software helped USA Health transform their prior authorizations process – streamlining workflows, decreasing errors and improving staff productivity.
AI is modernizing healthcare revenue cycle management by automating manual tasks, improving data accuracy and reducing denials. This Q&A explores how healthcare organizations can utilize AI-driven tools to strengthen their financial performance.