MedCity News June 21, 2022
The fact that a majority of denied claims are preventable is only one aspect of a much deeper problem. Reworking claims take time, money, and resources. But here’s how resource-strapped providers can leverage artificial intelligence to reimagine claims management.
Claim denials remain one of the most persistent and costly challenges health systems face. According to research published last year by the Healthcare Financial Management Association, “out of $3 trillion in total claims submitted by healthcare organizations, $262 billion were denied, translating to nearly $5 million in denials, on average, per provider.”
The outbreak of the Covid-19 pandemic exacerbated the problem, with national denial rates increasing 11 percent between July 2019 and June 2020.
The fact that a majority of denied...
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