Becker's Healthcare May 22, 2024
The final denial rate on inpatient claims increased 51% between 2021 and 2023, according to a May 21 report from Kodiak Solutions (formerly Crowe).
Kodiak’s revenue cycle analytics software monitors patient financial transactions from more than 1,850 hospitals and 250,000 physicians nationwide.
The final inpatient claim denial rate, as measured by the dollar value of claims denied as a percentage of the total dollar value of inpatient claims, was 1.71% in 2021 and rose to 2.58% in 2023, according to the report.
Kodiak Senior Vice President Colleen Hall said the increase in denials “drained $1.2 billion in revenue that hospitals and health systems rely on to provide care to their communities.
“On top of that, more initial claims...
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