What are the benefits of automated vs. manual prior authorization software?
At A Glance Automated prior authorization solutions streamline workflows, simplify management across payer systems and offer advanced features to reduce...
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...
State of Claims 2025: The denial problem (and is AI the answer?)
Key takeaways: Experian Health’s State of Claims 2025 report is out now, detailing providers’ views on claims management and how...
What the 2025 budget bill means for hospital revenue and readiness
Key takeaways: Changes to Medicaid, Medicare and the Affordable Care Act provisions in H.R. 1 are expected to increase financial...
Enhancing healthcare claims processing: Key strategies for 2025
Highlights Healthcare claims processing is becoming more complex, putting financial stability at risk. Many organizations are turning to technology, particularly...
Why claim denial prevention is more effective than denial management
Claim denials are skyrocketing, and so are revenue cycle leaders’ stress levels. In our most recent State of Claims survey,...
Healthcare claim denial statistics: State of Claims Report 2024
Claim denials are a well-documented challenge for healthcare organizations. Denied claims take much longer to pay out than first-time claims,...
State of Claims 2024: Insights from survey findings
Despite increased access to claims management technology, claims denials are still on the rise in 2024. Contributing factors include growing...
Leveraging AI and automation to minimize claim denials in healthcare
Healthcare claim denials persist as a significant challenge, impacting the efficiency, affordability and timeliness of healthcare delivery and hospitals’ financial...
Claim Scrubber software: the benefits for healthcare providers
Claim denials are costly to correct and resubmit. They impede revenue flow, slow down patient care delivery, contribute to poor...
