Medical Economics April 25, 2024
A hands-on approach may be better for physicians to manage claims.
A recent voluntary, national survey by Premier shed new light on denied claims. The survey, conducted from October to December 2023, revealed that nearly 15% of all claims across Medicare Advantage, Medicaid, Commercial, and Managed Medicaid are denied. Of those denied claims, 45% to 60% were overturned, albeit with a costly appeal process sometimes involving multiple appeals.
Many physicians face financial burdens when claims are denied, leading to difficulties meeting payroll and hindering investments in necessary medical equipment advancements. Additionally, closures of hospitals and health clinics are occurring in communities nationwide due to this issue. Many physicians opt to outsource their revenue cycle management (RCM), but this article will...
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