HealthIT Answers May 11, 2023
A Three-Pronged Approach Hospitals Should Follow
By Deepali Narula, Chief Operating Officer, Conifer Health Solutions
Twitter: @coniferhealth
Three out of four hospitals in the U.S. have experienced revenue cycle issues since the COVID-19 pandemic. This includes an increase in payer denials and rising bad debt. According to the American Hospital Association, nearly nine out of ten hospitals are challenged with an increase in claim denials. It is not surprising that denials management has become a top priority of revenue cycle leaders across the country.
In 2022, more than 10% of claims were denied, an increase of nearly eight percent over the previous year. Automated payer reviews, more complex payer criteria, and increased contract variables are primarily to blame, according to Advisory...
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