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Improving patient access is often a heavy lift for healthcare providers thanks to staffing shortages, lack of thorough staff training, inefficient processes and more....

Published: October 8, 2024 by Experian Health

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

Health payers created the prior authorization system as a cost and quality control strategy, ensuring patients receive only the most necessary, evidence-based, cost-effective and...

Published: October 1, 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

Could a more targeted approach to patient collections help providers maximize revenue? Wooster Community Hospital (WCH) has proof that it can – to the...

Published: September 12, 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

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