Increased claims denials, staff shortages worry health system rev cycle heads, survey finds

Fierce Healthcare September 10, 2024
Dave Muoio

Health system executives in charge of their organization’s revenue cycle are fretting about their dealings with payers, with many noting elevated denial rates across the board and within Medicare Advantage specifically, according to a new analysis.

Also on their minds are revenue cycle staffing shortages, which they say are weighing down their organizations’ ability to secure payments, as well as plans to prioritize investment in revenue cycle automation technology, per survey responses collected by the Healthcare Financial Management Association (HFMA) analyzed by consultancy firm Guidehouse.

“Roughly 40% of respondents reported struggling with elevated fatal denial rates, with more than half dealing with elevated Medicare Advantage denial rates,” Timothy Kinney, Guidehouse partner and finance and revenue cycle advisory leader, said in...

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