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EHR giant Epic, together with a handful of healthcare providers, has filed a federal lawsuit aimed at stopping what it calls a scheme to exploit and monetize patient medical records without consent. The complaint, filed January 13, claimed that certain companies improperly accessed sensitive health information and then sold or marketed that data for profit,…
At A Glance Claim scrubbing technology helps healthcare providers submit clean, accurate claims from the start – improving accuracy, reducing denials and maximizing reimbursements. Key takeaways: Claim scrubbing is a critical part of claims management, designed to improve claim accuracy and catch errors before submission. Errors on claims are a leading cause for denials and…
At A Glance Nearly two-thirds of healthcare providers now use artificial intelligence (AI) in their revenue cycle management (RCM) processes, according to Experian Health’s latest survey. Discover key insights on AI’s evolving role in healthcare, including barriers and top use cases. Key takeaways: Providers see eligibility verification and patient access as top use cases, but…
At A Glance Manual insurance eligibility checks are slow, error-prone and a leading cause of claim denials. Find out how automated insurance verification delivers real-time accuracy, fewer billing errors and faster reimbursements — helping providers protect revenue and improve patient care. Key takeaways: Manual patient insurance eligibility checks often lead to billing errors, claims processing…
Key takeaways: Healthcare organizations are facing growing levels of bad debt and a sharp decline in collections. Propensity-to-pay models that utilize machine learning and robust data offer insight into a patient’s likelihood to pay and allow staff to focus their collections efforts where they matter most. In 2024, Experian Health clients that implemented Collections Optimization…
Manual prior authorization workflows represent one of the most tedious and expensive aspects of the healthcare revenue cycle. However, despite access to automated prior authorization software, only 31% of providers use electronic prior authorizations, according to the Council for Affordable Quality Healthcare (CAQH). The CAQH predicts that providers who switch to automated prior authorization software…
