Medicare Improperly Paid DMEPOS Suppliers $22.7M mherndon Tue, 10/28/2025 – 14:17 WASHINGTON—A recent report shows Medicare has continued to improperly pay millions for durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) provided to enrollees during inpatient stays despite a major audit in 2018 and subsequent fix in 2020. A Look at the Numbers An audit […]
Key takeaways: Artificial intelligence (AI) is changing how healthcare organizations operate, but while most providers believe in its potential, adoption is uneven. As payers use AI to control costs, providers must apply the same technology to address rising claim denials and data quality challenges. Experian Health’s AI Advantage and Patient Access Curator help providers prevent […]
In this article… Challenge: Meeting new price transparency regulations Solution: Updating your price transparency strategy Outcome: Improved compliance & clear price estimates “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 […]
By JACOB REIDER I haven’t blogged this yet, which kinda surprises me, since I find myself describing it often. Let’s start with an overview. We can look at health information through the lens of a lifecycle. The promise of Health Information Technology has been to help us – ideally to achieve optimal health in the people […]
Healthcare claims denials are on the rise, despite more than a decade of industry-wide technological advances aimed at improving claims management processes. However, in recent years, the introduction of artificial intelligence (AI) into the healthcare ecosystem has begun transforming how healthcare organizations manage patient access — and the entire revenue cycle. The State of Claims: […]
Key takeaways: As claims denial rates continue to climb, pressure is mounting on healthcare organizations to find new ways to reduce denials. Leveraging artificial intelligence (AI) and automation-based tools, like Experian Health’s AI Advantage and Patient Access Curator solutions, is proven to lower denial rates. More than half of survey respondents say they’d replace existing […]
“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 […]