In In the News, Revenue Cycle

Insurance Claim Denials Cost Hospitals $262 Billion AnnuallyNew data shows that denials cost hospitals $262 billion annually, sparking cash flow issues and increasing recovery costs, Modern Healthcare reports. Reporter Dave Barkholz, citing a national analysis from Change Healthcare, notes that hospitals can try to avoid claim denials by automating their revenue-cycle workflow, and use analytics to pinpoint problems and improve processes to reduce denials.

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A new analysis by Change Healthcare found that of $3 trillion in medical claims submitted to payers last year, 9% of charges were initially denied, HIT Consultant reports today. Reporter Fred Pennic adds that, for the typical health system, as much as 3.3% of net patient revenue was put at risk due to denials. Read ...

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