With billions of dollars at stake, reducing medical claim denials regularly tops the “must-fix” list for healthcare providers. But despite being highly motivated to...
Experian Health is the top-performing claims management vendor, according to the 2023 Best in KLAS: Software and Professional Services report. Experian Health’s ClaimSource® solution,...
Full implementation of the Appropriate Use Criteria program has been indefinitely delayed, giving providers more time to prepare. The Centers for Medicare and Medicaid...
Automated claims processing could solve one of the biggest challenges currently facing healthcare providers: maximizing reimbursements by minimizing denied claims. Denials have been steadily...
“Is this claim valid? How much is our financial responsibility?” These are the two big questions payers want to answer when adjudicating healthcare claims....
With millions of healthcare claims to process and millions of dollars at stake each month, getting claims right the first time is a top...
An efficient revenue cycle management (RCM) system is a win-win for patients and providers. Friction-free solutions that cover everything from booking appointments to paying...
The payer policy rollercoaster has taken a few twists and turns recently, leaving healthcare organizations out of the loop if they try to keep...
Traditional revenue cycle management strategies are on shaky ground. Time-consuming manual processes are struggling under the burden of increasing patient volumes and patient financial...