Becker's Healthcare February 15, 2023
Initial clinical denial rates rose in 2022 with the highest denial rates coming from Medicare Advantage plans, according to a Feb. 15 report from Crowe Revenue Cycle Analytics.
Crowe’s software monitors every patient financial transaction from more than 1,700 hospitals and 200,000 physicians, according to a Feb. 15 news release from the firm.
Four things to know:
1. Through November 2022, the dollar value of initial clinical denials by payers represented 3.2 percent of billed inpatient dollars. That is 18.5 percent higher than in 2021.
2. Providers wrote off 3.6 percent of their inpatient revenue as uncollectible in 2021. That number increased to 5.9 percent in 2022, through November.
3....
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