The front-end data problem behind claim denials
Claim denial rates remain high – and in some cases, they’re rising. Experian Health’s latest Denial Management survey found that...
Case study: How MetroHealth reduced denials by 44% by fixing front-end registration
Challenge: Too many registration errors were caught too late Health systems are under constant pressure to improve cash flow while...
Predictions for the RCM industry in 2026
At A Glance Revenue cycle management (RCM) teams are facing a year of major change, with new regulations, tighter margins...
Using AI to reduce healthcare claims denials
At A Glance For healthcare providers, claim denials are a constant drain on revenue and staff capacity. Jason Considine, President...
5 revenue cycle management predictions for 2026
At A Glance Revenue cycle management (RCM) teams are facing a year of major change, with new regulations, tighter margins...
From manual to automated insurance eligibility verification: A game-changer for providers
At A Glance Manual insurance eligibility checks are slow, error-prone and a leading cause of claim denials. Find out how...
Reimagining patient access: AI at the epicenter of coordinated benefits management
Healthcare claims denials are on the rise, despite more than a decade of industry-wide technological advances aimed at improving claims...
Q&A: How AI innovation is transforming healthcare revenue cycle management
Healthcare organizations are facing a perfect storm: rising claim denials, evolving payer rules, and patients expecting providers to reduce error...
The denial spiral: Breaking the cycle with predictive intelligence
For patient access leaders at large healthcare organizations, the pressure is mounting and has been building for some time. Healthcare...
Prior authorization software: Key features & benefits for healthcare providers
Manual prior authorization workflows represent one of the most tedious and expensive aspects of the healthcare revenue cycle. However, despite...
