Claims & Contract Management

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Claim denials are a well-documented challenge for healthcare organizations. Denied claims take much longer to pay out than first-time claims, if they get paid...

Published: October 4, 2024 by Experian Health

Reimbursement issues in the healthcare industry are complex, but reimbursement is essential for healthcare organizations. Proper reimbursement allows providers to run operations efficiently and...

Published: September 26, 2024 by Experian Health

What happens when payers don’t comply with contract terms? What if a provider overlooks the fine print? Contracts between healthcare providers and payers are...

Published: September 23, 2024 by Experian Health

Despite increased access to claims management technology, claims denials are still on the rise in 2024. Contributing factors include growing healthcare costs, stricter payer...

Published: September 18, 2024 by Experian Health

As economists offer up their best guesses for the US economy over the coming year, healthcare leaders know one thing for sure: no matter...

Published: September 10, 2024 by Experian Health

Effective contract management for healthcare organizations is pivotal in this complex and highly regulated world. Healthcare organizations, whether large hospitals, clinics, or individual practitioners,...

Published: September 9, 2024 by Experian Health

Millions of healthcare claims are denied annually, costing providers billions in lost revenue and expensive appeals. A 2024 survey shows that around 15% of...

Published: September 6, 2024 by Experian Health

Healthcare claim denials persist as a significant challenge, impacting the efficiency, affordability and timeliness of healthcare delivery and hospitals’ financial well-being. They contribute a...

Published: August 1, 2024 by Experian Health

Experian Health’s State of Claims 2022 report reveals a worrying trend in the increasing rate of denied claims in healthcare. Three-quarters of the 200...

Published: July 18, 2024 by Experian Health

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