Insurance Claim Denials Cost Hospitals $262 Billion Annually

Insurance claim denials cost hospitals $262 billion annually

  • June 27, 2017

New data shows that hospitals across the country lose approximately $262 billion per year on denied claims from insurers, sparking huge cash-flow issues and recovery costs, Modern Healthcare reports. Reporter Dave Barkholz cites the numbers from new analysis by Change Healthcare, and notes one suggestion is that hospitals can try to avoid claim denials by automating their revenue-cycle workflow and collecting data that flag where claims are being denied. Read the article

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Change Healthcare: $262B In Healthcare Claims Initially Denied In 2016

Change Healthcare: $262B in Healthcare Claims Initially Denied in 2016

  • June 27, 2017

A new analysis undertaken by Change Healthcare found that of $3 trillion in medical claims submitted to payers last year, 9% of those charges were initially denied, HIT Consultant reports today. Reporter Fred Pennic adds that analysis shows for the typical health system, as much as 3.3% of net patient revenue, an average of $4.9 million per hospital, was put at risk due to denials. Read the article

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$262B In Healthcare Claims Initially Denied In 2016

$262B in healthcare claims initially denied in 2016

  • June 26, 2017

Out of an estimated $3 trillion in medical claims submitted by hospitals in the U.S. last year, an estimated $262 billion worth of those were initially denied, AuntMinnie.com reports. The story cites new analysis by Change Healthcare in its first-ever Healthy Hospital Revenue Cycle Index, adding that as much as 3.3% of net patient revenue was put at risk due to denials. Read the article

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An Estimated $262B In Medical Claims Initially Denied In 2016, Analysis Shows

An Estimated $262B in Medical Claims Initially Denied in 2016, Analysis Shows

  • June 26, 2017

New analysis from Change Healthcare shows that out of an estimated $3 trillion in medical claims submitted by hospitals in the U.S. last year, an estimated 9% of charges were initially denied, Healthcare Informatics has reported. Further, reporter Rajiv Levanthal notes, reworking each denial costs providers roughly $118 per claim, or as much as $8.6 billion in appeals-related administrative costs, the study showed. Read the article

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Claims Appeals Cost Hospitals Up To $8.6B Annually

Claims Appeals Cost Hospitals Up to $8.6B Annually

  • June 26, 2017

Of an estimated $3 trillion in claims submitted by hospitals in 2016, nearly 9% of those charges were initially denied, HealthLeaders Media reports. Citing figures from the first-ever Healthy Hospital Revenue Cycle Index compiled by Change Healthcare, Senior Leadership Editor Philip Betbeze says that number translates to $262 billion in at-risk revenue for providers. Read the article

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Denial Rework Costs Providers Roughly $118 Per Claim: 4 Takeaways

Denial rework costs providers roughly $118 per claim: 4 takeaways

  • June 26, 2017

Change Healthcare estimates that $262 billion, or 9%, of the nearly $3 trillion in claims submitted by hospitals last year were initially denied, according to  Becker’s Hospital CFO Report. A story by Becker's Kelly Gooch cites four key takeaways from the Change Healthcare Healthy Hospital Revenue Cycle Index. Read the article

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$262B Of Total Hospital Charges In 2016 Initially Claim Denials

$262B of Total Hospital Charges in 2016 Initially Claim Denials

  • June 26, 2017

Nearly 9% of hospital medical claims in 2016, representing some $262 billion, were initially denied, RevCycle Intelligence reports. Citing the Change Healthcare Healthy Hospital Revenue Cycle Index published today, editor Jacqueline Belliveau notes that up to 3.3 percent of net patient revenue at a typical health system was at risk because of claims denials. Read the article

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Report: $262B In Healthcare Claims Initially Denied Last Year

Report: $262B in healthcare claims initially denied last year

  • June 26, 2017

A new study has found that an estimated 9% of claims submitted to payers last year were initially denied, Healthcare DIVE says. Writer Les Masterson, reporting on the newly issued Change Healthcare Healthy Hospital Revenue Cycle Index, says that figure represents $262 billion of the $3 trillion in charges submitted, adding that as much as 3.3% of net patient revenue, an average of $4.9 million per hospital, was “put at risk due to denials.” Read the article

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Change Healthcare Navigates Value-Based Care Reimbursement Solutions At HFMA ANI 2017

Change Healthcare Navigates Value-Based Care Reimbursement Solutions at HFMA ANI 2017

  • June 26, 2017

The issue of value-based care, and how to get properly reimbursed for such care, will be one of several issues that Change Healthcare is addressing at this week’s HFMA ANI 2017 conference in Orlando. The provider of technology-enabled healthcare solutions and services is also showcasing innovative new solutions for providers to better achieve operational efficiency. Read the news release

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Report: $262 Billion In Healthcare Claims Initially Denied In 2016

Report: $262 Billion in Healthcare Claims Initially Denied in 2016

  • June 26, 2017

A new study by Change Healthcare shows that of $3 trillion in medical claims submitted last year, $262 billion worth were initially denied. And while an average of 63% of those claims were recoverable, appeals-related administrative costs totaled $8.6 billion. The good news is that providers can now see where they might be falling short by studying the Healthy Hospital Revenue Cycle Index, and take the steps needed to cut their losses. Read the news release

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