Claim What’s Yours: The Secret to Successfully Appealing Claim Denials
The Truth About Denials
Since 2011, claim denials written off as uncollectable went up a staggering 90%. For a median 350-bed hospital, that could mean $3.5 million lost over four years 1. While one culprit behind the write-offs is payers denying more claims, providers’ failure to appeal denied claims also played a big part.
The truth is, providers never work 65% of claim denials 2, saying it takes too long and costs too much. Adding insult to injury, since 2015, hospitals’ appeal success rate has dropped 11% with private payers and 10% with Medicaid 3. It’s frustrating, yes, but if you don’t pursue appeals, your organization could lose up to 5% of net revenue 4 —too much to simply ignore.
This eBook reveals how to turn the denial appeals process from a burden to a boon to your bottom line.
Learn more, download the eBook.