Errors in patient access, such as eligibility or missing prior authorization, is the top reason for initial payer denials, according to an Oct. 17 report from Akasa, a revenue cycle firm that uses artificial intelligence.
Akasa surveyed a survey of more than 350 CFOs and revenue cycle leaders at hospitals and health systems through the Healthcare Financial Management Association's Pulse Survey program.
Here are the eight most common reasons for initial payer denials, according to the survey:
1. Errors in patient access/registration
2. Lack of documentation to support medical necessity
3. Missing or incorrect patient information
4. Physician documentation issues
5. Utilization management
6. Coding errors
7. Duplicate claims
8. Untimely filing