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

A new analysis from 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. Becker's Kelly Gooch cites four key takeaways for providers from the Change Healthcare Healthy Hospital Revenue Cycle Index report. 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% 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 found 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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New Study Reveals Impact Of Claim Denials On Providers

New Study Reveals Impact of Claim Denials on Providers

  • June 26, 2017

Medical claim denials--they erode providers’ bottom lines, impede timely reimbursement, and sap time and money to appeal. But how much hospital revenue is put at risk by denials annually? How much does it really cost to re-work a claim? What are provider organizations spending on appeals? How do denial rates compared across the country? These are some of the questions that Change Healthcare analytics experts looked to answer. And using our revenue cycle analytics tools—the same tools we provide to customers—we revealed the state of denials nationally. The answers, available in a new e-book, may surprise you. Download the e-book

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Change Healthcare Analysis: $262 Billion In Healthcare Claims Initially Denied In 2016

Change Healthcare Analysis: $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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Lab Network Picks Change Healthcare As Revenue Cycle Partner

Lab network picks Change Healthcare as revenue cycle partner

  • June 2, 2017

Atlanta-based LabPharm Hospital Management Services has chosen Change Healthcare as its vendor for revenue cycle management services, Health Data Management reports. LabPharm’s chief legal officer says Change Healthcare was picked in part because of its national presence and strong experience in lab billing. Read the article

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McKesson Entity Now Change Healthcare

McKesson Entity Now Change Healthcare

  • May 6, 2017

McKesson Technology Solutions and Change Healthcare have merged to create a new healthcare information technology company. The new Change Healthcare includes all of Change Healthcare's businesses and the majority of McKesson Technology Solutions, and will employ about 15,000 people. Read the article

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