RevCycle Intelligence November 21, 2023
Claim denials are on the rise as hospitals also see diminishing cash reserves, according to a new AHA report.
Hospitals and health systems have seen a significant spike in claim denials as Medicare Advantage and commercial payers deny more of their reimbursement.
A new analysis of data from over 1,300 hospitals and health systems by Syntellis Performance Solutions and the American Hospital Association (AHA) found a nearly 56 percent increase in Medicare Advantage denials from January 2022 to July 2023.
During that period, commercial denials also increased for hospitals nationwide. Those denials rose by about 20 percent.
As a percentage of net patient service revenue, Medicare Advantage and commercial denials for the median hospital grew by approximately 63 percent and...
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