Denials for Medicare and private insurance claims are steadily increasing, becoming a critical concern for healthcare providers across the spectrum. In fact, both commercial and public payers are now denying about one in every 10 submitted claims, costing health systems up to 2% of net patient revenue, according to the Advisory Board.
Further, many providers are experiencing:
This trend is expected to rise in the coming years. The good news is there are proven strategies to help overcome this rise and ensure patients receive the medically- appropriate care they need to reach a full recovery. For instance, 90% of claims managed by Kindred Healthcare are successfully appealed.
Read this Q&A style guide to learn the key factors causing a rise in denials and proven strategies to increase patient access for those that need it most.
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