Tag: claim denials
Today, U.S. healthcare providers struggle with three significant challenges affecting care delivery—each resulting from chronic healthcare workforce shortages. Ultimately, these challenges threaten the fiscal...
Getting a claim right the first time is much less expensive than reworking it. Experian Health’s 2022 State of Claims survey illustrates most claims denials...
Could common revenue cycle management (RCM) myths be preventing healthcare organizations from getting paid in full? Does what constituted best practice a few years...
The complexities of healthcare claims management are a widespread, costly issue. While the American Medical Association (AMA) blames prior-authorizations as the main cause, it’s...
Staffing shortages are the new normal in healthcare. Most news headlines focus on gaps between the supply of providers and the growing demand for...
Artificial intelligence (AI) is cropping up everywhere. But it’s about to make an even bigger splash by revolutionizing how providers handle HCM (healthcare claims...
Nearly three out of four healthcare leaders said reducing claims denials was their highest priority in Experian Health’s State of Claims Report. But knowing...
Payers are using automation to adjudicate healthcare claims at scale, leaving providers struggling to keep up. One major insurer was found to have denied...
With the ability to be applied across many different areas – from disease prediction to claims management and administrative tasks – data and analytics in...