Becker's Healthcare March 25, 2024
Hospitals and health systems are spending an estimated $19.7 billion per year to fight denied claims, according to a March 21 report from healthcare solutions company Premier.
Premier conducted a survey of hospital and health system leaders representing 516 hospitals across 36 states between Oct. 10 and Dec. 31, 2023. The respondents were asked to consider all claims from Jan. 1 to Dec. 31, 2022. Findings were weighted by the acute bed capacity of the respondents, which ranged from a small 12-bed critical access hospital to large multi-state health systems.
To calculate the cost associated with fighting payer denials, Premier multiplied the 3 billion claims processed per year by 0.15 — the average denial rate identified in the...
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