Initial claims denials are up more than 18% since 2020, according to a Dec. 13 revenue cycle benchmarking report from Kodiak Solutions, formerly Crowe. Kodiak’s revenue cycle analytics software ...

Insurance claim denials have risen 16% from 2018 to 2024, affecting access to essential medications like insulin and albuterol. Denials often result from formulary exclusions, step therapy, and ...

Millions of Americans in the past few years have run into this experience: filing a health care insurance claim that once might have been paid immediately but instead is just as quickly denied. If the ...

Healthcare claims processing is rife with inefficiencies and financial strains marked by operational bottlenecks, rising denial rates and increasing administrative burdens faced by providers, ...

Ask any healthcare clinic owner where they lose money, and most will point to low reimbursement rates or high overhead. But in my experience, few will mention the real culprit: Denied claims.

Providers’ struggles with claims denials have worsened compared with two years ago, according to Experian Health’s 2024 State of Claims survey released on Tuesday. Prior authorizations and missing or ...

The volume of commercial payer claim denials continues to rise and the appeals process has slowed, according to a new survey from HFMA. Claim denial woes continue to plague revenue cycle leaders.

Denied claims are becoming a financial nightmare for healthcare organizations, with costs skyrocketing. These high percentages underscore a significant opportunity for organizations to mitigate ...

Work silos—fragmented teams working independently of one another—represent a significant barrier to high-quality communication and collaboration, without which healthcare organizations cannot achieve ...