All posts by Experian Health
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.
For healthcare providers, claim denials are a constant drain on revenue and staff capacity. Jason Considine, President at Experian Health, sees three ways artificial intelligence (AI) can break this cycle: by preventing avoidable errors, prioritizing high-value resubmissions and using data insights to reduce denials over time.
Claim scrubbing technology helps healthcare providers submit clean, accurate claims from the start - improving accuracy, reducing denials and maximizing reimbursements.
Manual workflows were no match for MetroHealth's growing prior authorization demands. Learn how Experian Health’s automated prior authorizations solution helped MetroHealth increase monthly authorizations by 173%, without adding staff.
Experian Health is very pleased to announce that we’ve been recognized as a Consistent High Performer for Contract Management & Analysis Software in the 2025 KLAS report.
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.