Revenue Cycle Management

Collect every dollar due

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Experian Health’s revenue cycle management solutions automate orders, patient access, contract management, claims, and collections to improve efficiency and increase reimbursement.
 

Explore our revenue cycle management solutions

Orders Solutions

Our orders solutions automate cumbersome manual processes. Orders are verified against payer clinical requirements using a single-user interface, saving precious resources. That means your staff—and the physician’s office staff—spends more time focused on patients.

Workflow Management

Automate manual patient access processes (e.g., orders, registration, and financial clearance) using a single, integrated platform: eCare NEXT®.

Experian Health’s patented eCare NEXT features Touchless Workflow™, which is designed to create a more efficient, accurate, and productive user and patient experience. 

Analytics

Experian Health's Revenue Cycle Analytics enables revenue cycle leaders to pinpoint operational and financial challenges and drive results.

Patient Access

Verify patient information at the point of service to improve administrative operations, coordinate across facilities, and ensure payment.

Patient Intake

Automate registration and wait times by capturing accurate patient information to create a positive experience, ensuring you are submitting accurate data.

Contract Management

Verify the accuracy of healthcare claims and reimbursement, audit payer contract performance, and quickly estimate pricing prior to service.

Claims

Submit clean claims, work edits, and denials in priority order. Make sure reimbursements are paid correctly and payments are posted properly.

Collections

Increase revenue, reduce costs, identify performance improvement opportunities, and improve patient satisfaction.

Learn more from Experian Health

Greg Caressi, Sr. Vice President, Transformational Health with Frost & Sullivan

Most US-based providers still grapple with low operating margins, resulting from poor accounts receivable (A/R) performance and high average denial volumes. Many health systems attribute this inefficiency to their suboptimal knowledge and implementation of value-based RCM pathways that require important investments in RCM IT.

As a result, new growth opportunities involving external RCM solutions have gained precedence among many hospitals and physician practices. Most are willing to invest in advanced RCM capabilities that can streamline financial performance by paving the way for seamless payer-provider communications.

Revenue Cycle Management: Aligning RCM with the Shifts Driving Change in Provider Organizations

In this white paper, learn best practice recommendations to effectively benchmark financial performance to make needed improvements, as well as improve claims and contract management efficiency to stabilize finances.

HealthExec: Systems risk ‘financial distress’ if married to old RCM ways

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