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Showing posts from January, 2025

Breaking down claim denial rates by healthcare payer

  Rising claim denial rates challenge healthcare providers, increasing revenue losses, staff burden and patient dissatisfaction, with private payers denying more claims. More healthcare providers are reporting higher claim denial rates than before, according to a recent  survey  from Experian Health. With rates rising, providers are experiencing revenue cycle management and patient experience challenges. Higher claim denial rates lead to lost revenue and delayed reimbursement while creating more work for revenue cycle staff who must chase down payments and launch appeals for denied claims. In fact,  denials management was the most time-consuming revenue cycle management task  for healthcare financial leaders, according to a 2023 survey from AKASA. Patients are also becoming increasingly disgruntled by claim denials. Claim denials have recently been put in the spotlight after the  death  of UnitedHealthcare's CEO Brian Thompson, which has sparked a larg...