National Medical Claim Denial Trends And The Impact On Providers

Denials. They erode providers’ bottom lines, impede timely reimbursement, and sap time and money to appeal.

But how much provider revenue is put at risk by denials annually? How much does it cost to rework a claim? And how much are providers losing to administrative expenses for appeals?

Change Healthcare analytics experts worked to answer those questions. As one of the largest independent healthcare technology companies in the United States, Change Healthcare processes billions of provider transactions worth trillions annually.

Using our revenue cycle analytics tools—the same tools we provide to customers—our data scientists revealed the state of denials nationally.

In addition to providing the first birds- eye view of national denials data trends, providers can access this data online to benchmark their organizations against peers.