The challenge tormenting revenue cycle departments

Claims denials continue to torment providers, and the challenge is growing, according to a Sept. 24 report from Experian Health. 

Experian's "2024 State of Claims" report is based on a survey of 210 healthcare staff responsible for administration in finance, billing, registration, reimbursements, claims and collections.  The survey was conducted between June 22 and July 10.

According to the report: 

  • 77% of those surveyed said that payer policy changes are occurring with more frequency, up from 67% in 2022. 
  • 67% said time to be reimbursed is increasing, compared to 51% in 2022.  
  • 55% said errors in claims are increasing, compared to 43% in 2022. 

Thirty-eight percent of survey respondents said that claims are denied 10% of the time or more and 11% said claims are denied more than 15% of the time. 

The top ranked reasons for denials are:

  1. Missing or inaccurate data 
  2. Authorizations
  3. Patient information inaccurate/incomplete 

"We had hoped to see a decrease in claim denials from our previous survey, but it’s clear these significant challenges are continuing, adding immense pressure on providers to improve their revenue cycle management processes," Experian's Chief Product Officer Clarissa Riggins said in a Sept. 24 news release. 

Read the full report here



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