Fierce Healthcare February 16, 2023
Through November 2022, providers wrote off 5.9% of their inpatient revenue as unable to be collected, up 64% from 3.6% of inpatient revenue in 2021. (iStock / Getty Images Plus)
The number of inpatient claims denied by payers is on the rise, with Medicare Advantage (MA) plans rejecting more claims than any other type of coverage, according to a new analysis.
Analysts at Crowe LLP, a global public accounting, consulting and technology firm, dug into claims data from 1,700 hospitals that use its Revenue Cycle Analytics tool and found that while traditional Medicare is one of the most straightforward payer categories for determining the appropriate level of care, MA plans use more restrictive methodology common in commercial plans.
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