86% of denials are potentially avoidable: Strategies to better prevent, manage denials

Becker's Healthcare November 6, 2020
Alia Paavola

Denials, a pain point for hospitals across the U.S., erode margins, hinder timely reimbursement and hemorrhage staff time.

In an effort to better understand national denial trends and help providers get a plan in place to prevent denials, Change Healthcare analyzed 102 million claim remits with charges totaling $407 billion from 1,500 U.S. hospitals. The results were published in its Change Healthcare 2020 Revenue Cycle Denial Index Report.

In the report, Change Healthcare found that the national average denial rate is up nearly 2 percent since 2016. Further, the report found that 86 percent of denials are potentially avoidable, but once denied, one in four (24 percent) cannot be recovered.

In an Oct. 29 webinar, sponsored by Change Healthcare and...

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