Tag: patient access curator
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.
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.
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.
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.