Physicians Practice November 7, 2025
Revenue cycle management faces challenges with high-dollar claims disappearing into prolonged reviews, impacting provider finances and patient access to care.
Physicians and practice administrators frequently encounter a perplexing challenge in revenue cycle management: the unexplained disappearance of high-dollar claims from aging reports. These submissions do not receive outright rejections or explicit denial notices; instead, they enter a prolonged state of suspension, often lasting weeks or months, only to resurface with demands for medical records that were already meticulously documented.
This phenomenon, increasingly prevalent in an era of advanced claims processing technologies, imposes significant administrative burdens and financial strain. Based on WCH Service Bureau’s 25 years of specialized experience in revenue cycle management, we’ve observed this phenomenon intensifying dramatically. Prepayment denials,...
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