In a typical U.S. hospital system, the revenue cycle is under constant pressure. A significant portion of this pressure comes from denied claims, which was estimated to be a $262 billion problem ...

Providers spend more than $10 billion annually reviewing and managing denials for claims that should have been paid upon first submission. Medicare Advantage (MA) plans are particularly problematic as ...

Most organizations take an administrative approach to managing denials. Maybe that’s why they’re not collecting as much as they should. Few hospitals would admit to not having a denials management ...

The healthcare industry continues to struggle with claims denial write-offs, which have climbed consistently over the past decade. Denials are a big issue and the challenge continues. Denial write-off ...

For years, many healthcare executives treated claim denials as a back-office irritation—a revenue problem to be delegated, not a strategic one to be solved. That era is over. Denials have quietly ...

Leading solutions enhanced with AI can help providers identify problem claims and prevent denials before they happen, avoiding costly rework, delays, and improving revenue flow ORLANDO, ...

Tackling $20 billion lost in denial recovery efforts and $17 billion in uncompensated care, helping providers unlock stronger financial performance and resilience LEHI, Utah and LOUISVILLE, Ky., Sept.

Few hospitals would admit to not having a denials management program, yet one in five claims for services already rendered is denied or delayed. 1 Denials erode the provider organization’s bottom line ...