Safety and Security

WASHINGTON—A recent report shows Medicare has continued to improperly pay millions for durable medical equipment, prosthetics, orthotics and supplies (DMEPOS)…

Key takeaways: Artificial intelligence (AI) is changing how healthcare organizations operate, but while most providers believe in its potential, adoption…

In this article… Challenge: Meeting new price transparency regulations Solution: Updating your price transparency strategy Outcome: Improved compliance & clear…

By JACOB REIDER I haven’t blogged this yet, which kinda surprises me, since I find myself describing it often.  Let’s start…

Healthcare claims denials are on the rise, despite more than a decade of industry-wide technological advances aimed at improving claims…

Key takeaways: As claims denial rates continue to climb, pressure is mounting on healthcare organizations to find new ways to…

“We knew we needed to transform our authorization workflow processes. We were experiencing a high rate of denials due to…

Key takeaways: Healthcare organizations are facing growing levels of bad debt and a sharp decline in collections. Propensity-to-pay models that…

Healthcare organizations are facing a perfect storm: rising claim denials, evolving payer rules, and patients expecting providers to reduce error…

Key takeaways: Experian Health’s State of Claims 2025 report is out now, detailing providers’ views on claims management and how…

Key takeaways: Manual work and disconnected claims management systems are often error-prone, resulting in delayed and denied claims. Technology, like…

TABLE OF CONTENTS Challenge: OhioHealth faced rising denials Solution: AI + machine learning to check eligibility Outcome: Patient Access Curator…