$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 were initially denied, AuntMinnie.com reports. The story cites new data from Change Healthcare, which found 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 reports. Reporter Rajiv Levanthal notes that reworking each denial costs providers roughly $118 per claim, or as much as $8.6 billion in appeals-related administrative costs. 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

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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Reinventing Claims Payment For A Value-Based World

Reinventing Claims Payment for a Value-Based World

  • June 8, 2017

The health care industry’s claims payment system is frustrating, inefficient, and prone to errors, according to a new Op-Ed in Morning Consult. But Amy Larsson says one way to overcome these challenges is to start automating disparate payment systems to reduce manual interventions and thus the errors they might introduce. Read the article

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