Denied claims increasingly saddle hospitals with collections backlogs

HealthExec December 13, 2023
Dave Pearson

Hospital receivables that languish unpaid for more than 90 days usually trace to claims initially declined by payers.

What’s more, the higher the initially declined bill, the more likely it will wait longer than 90 days before getting resolved.

These are among the findings discussed in a new report from Kodiak Solutions, whose revenue cycle analytics software monitors patient financial transactions for more than 1,800 hospitals and 200,000 physicians.

The report, a quarterly benchmarking analysis, shows that, from 2020 through the present quarter, the value of claims waiting longer than 90 days for payment has risen by 33% for commercial insurers.

For slow claims billed to Medicare Advantage, the value has spiked by more than 40%.

Further, the initial claim...

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