Patient Access
Learn how to improve patient access by verifying critical patient information and collecting patient payments prior to service.
The One Big Beautiful Bill Act overhauls federal healthcare funding, coverage and eligibility verification, with major implications for revenue cycle performance. The first webinar in Experian Health’s three-part series focused on the key policy changes and what healthcare organizations should do now to prepare.
Claim denial rates remain high – and in some cases, they’re rising. Experian Health’s latest Denial Management survey found that over the past 12 months, 25% of healthcare providers reported increased denial rates, while 42% saw no meaningful change.
Learn how Avita Health used Experian Health's Patient Estimates to achieve a 169% increase in point-of-service cash collections and a 47% increase in pre-service collections.
Providers must adopt OBBBA preparation strategies and new technologies to brace for the impact of increased self-pay patients, who account for the highest percentage of bad-debt write-offs, as well as additional administrative and documentation requirements, such as stricter eligibility checks and reporting mandates.
By automating multiple patient registration checks in a single workflow with Patient Access Curator, MetroHealth cut denials by 44%, reduced rework and downstream costs, and gave staff more time to focus on higher-value tasks.
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.