Tag: claims and contract management
Healthcare revenue cycle challenges are growing more complex. Learn the top RCM issues and strategies to improve cash flow, reduce denials and boost efficiency.
Discover how payer contract management software optimizes revenue, ensures compliance, and streamlines payer contracts.
Learn how a healthcare contract management solution can help negotiate favorable terms, check payer compliance, and more.
How can healthcare providers improve revenue cycle predictability? Experian Health's suite of RCM solutions can help.
Discover what's in store for contract management in healthcare in 2024, and learn how healthcare providers can address these challenges.
For the second consecutive year, Experian Health has ranked #1 in Best in KLAS for its ClaimSource® and Contract Manager products.
Keeping track of changing payer requirements has long been a major challenge. Learn how automated payer alerts can help providers get ahead.
Faster claims processing is crucial for better patient financial experiences and reduces revenue leakage for healthcare providers.
Claims denials put a big dent into the budgets of healthcare providers – something many organizations can’t afford today given the current pandemic. In an environment where everyone must do more with less, reducing claim denials could release vital revenue and staff time to create breathing space for quality improvement. The good news? About 90% of claims denials are preventable when healthcare providers automate revenue cycle functions. In fact, providers could gain an estimated $9.5 billion by automating the claims management processes. Here are 5 ways for providers to proactively reduce claim denials. Healthcare providers should shift from reactive to proactive claim denial management, looking at the whole RCM process. On the front-end, that includes streamlining the patient registration process. By achieving near-perfect levels of accuracy on the front-end, providers can prevent costly claims denials and unnecessary re-work on the back-end of the revenue cycle. On the back-end, ideally, providers will use technology to prevent denials in the first place, improve processes for managing denials when they do occur, and then use a robust analytics platform to understand what went wrong so it can be avoided in future.