Case study: How Memorial Health hit 97% registration accuracy in just six months

Challenge: Registration errors were creating avoidable downstream work Layoffs and rising patient volumes put pressure on Memorial Health’s ambulatory access team. Like many health systems, the organization had to ask smaller teams to do more with less. In the rush to keep up, more registrations entered the system with gaps and inaccuracies that later led…

Read More

Case study: How MetroHealth increased monthly authorizations by 173%

Challenge: Manual authorizations couldn’t scale with demand Manual workflows were no match for MetroHealth’s growing prior authorization demands. With more than 300,000 patients coming through the doors each year, staff at the MetroHealth system spent their days manually chasing requests and approvals through phone calls and payer portals. Without a reliable way to track approvals,…

Read More

The Case for a Universal Medical Coder in Achieving True Interoperability

The healthcare industry is once again entering a period of heightened expectations around interoperability. Federal agencies are intensifying enforcement against information blocking, promoting an Interoperability Framework, expanding the United States Core Data for Interoperability (USCDI), and signaling greater accountability for providers and technology developers.  At the same time, industry leaders are promoting emerging concepts such…

Read More

Case Study: How Patient Estimates helped UTMC comply with Price Transparency Rules

“Experian Health helped us meet the compliance of the Price Transparency Rule. Without it, we would have been subject to large fines.” — Marianna Ross, Manager of Customer Services and Financial Counseling at UTMC Challenge Before 2020, UTMC, a leading Level 1 Trauma Center that serves patients across three states, relied on a manual, time-consuming…

Read More

Case study: How USA Health cut manual work by 50% with automated authorizations

“We knew we needed to transform our authorization workflow processes. We were experiencing a high rate of denials due to a lack of authorizations.” – Amy Grissett, Senior Director of Ambulatory Revenue Cycle at USA Health Challenge: Manual processes that couldn’t keep up Serving more than 250,000 patients each year across hospitals, specialty centers and…

Read More