Tag: Revenue Cycle Management
St. Luke’s found itself making up to 30,000 collections calls a month — only to discover that many of the accounts weren’t actually self-pay after all. Learn how St. Luke’s leveraged Experian Health’s Coverage Discovery to uncover $19 million in billable coverage.
Sweeping changes to healthcare coverage and reimbursement under the One Big Beautiful Bill Act (OBBBA) are set to put pressure on patient access. In the second webinar in Experian Health’s three-part series on OBBBA, industry leaders discussed how front-end accuracy is now the frontline in revenue protection. The discussion covered how automation and artificial intelligence (AI) can help protect patients and revenue as coverage becomes more volatile.
Experian Health’s new denial management survey shows that preventable errors at registration continue to drive denials, making front-end data accuracy and automation essential to reduce rework, protect revenue and submit cleaner claims the first time.
Experian Health’s latest State of Patient Access 2026 survey captures how patients and providers feel patient access has changed over the past year. This article highlights where progress is most visible, along with opportunities for further improvement, such as appointment speed, financial clarity and front-end data accuracy.
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.
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.
Experian Health’s Contract Manager and Contract Analysis product has been ranked #1 in the 2026 Best in KLAS: Software & Services report, for the fourth consecutive year. Adam Gale, CEO of KLAS Research, says, “The Best in KLAS awards recognize the vendors who consistently deliver excellence through partnership with healthcare organizations. Winning this award means customers trust you to help them succeed in our rapidly changing healthcare landscape. This means helping them to improve patient care, achieve better outcomes, and find true ROI. We’re honored to amplify the voice of providers and payers at KLAS, and to celebrate those vendors who turn feedback into action.” Contract Manager, paired with Contract Analysis, empowers healthcare providers by continuously auditing payer contract performance. This solution identifies underpayments, supports recovery efforts, and delivers actionable insights that providers can use to negotiate stronger, more sustainable payer contracts, ultimately supporting long-term financial stability. Rob Stucker, VP of Product Management at Experian Health, says, “We’re proud that Contract Manager and Contract Analysis has once again been recognized as #1 in the 2026 Best in KLAS Software & Services report for the fourth consecutive year. This recognition reflects the meaningful impact our solution delivers by uncovering underpayments, accelerating revenue recovery and equipping provider organizations with the data they need to negotiate contracts from a position of strength. We’re committed to supporting our clients with innovative tools that simplify healthcare.” Learn more about how Contract Manager and Contract Analysis can help your healthcare organization validate reimbursement accuracy, recover underpayments and boost revenue. Learn more Contact us
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%.