Becker's Healthcare October 25, 2024
Nashville, Tenn.-based HCA Healthcare has reported a modest reduction in prior authorization denials for accounts with two midnights or more, but still has “way too many denials,” with large Medicare Advantage payers driving a significant portion of these denials, CEO Sam Hazen said during the company’s third-quarter earnings call on Oct. 25.
The 187-hospital, for-profit system has doubled down on denial mitigation strategies through its revenue cycle in recent years, but noted that commercial payers have ramped up the intensity of their denial activities.
“However, given our focus and investment in these areas, we’ve been able to moderate the rate of growth in denial write-offs this year compared to the prior year,” Mr. Hazen said. “We are now...