Claim denials are still causing frustration for revenue cycle leaders, and a new survey shows it's only getting worse.
Claim denials remain a challenge for revenue cycle leaders across the country, putting a drain on both financial and workforce resources. Outside the effect on health system revenues and employees, denials create anxiety for patients who often encounter delays in treatments.
In the 2024 Experian Health State of Claims survey, 210 respondents involved in their organizations’ revenue cycle operations share their thoughts on claim denials. Results show that many are concerned about receiving payment from both payers and patients.
While AI and associated technologies show promise in their ability to ease the administrative burden caused by claim denials, few are currently using it in robust ways.
Luke Gale is the revenue cycle editor for HealthLeaders.
KEY TAKEAWAYS
Revenue cycle leaders report that claim denials are on the rise and that there is significant concern over the ability to collect payment from patients and payers.
While AI and associated technologies could help to ease the burden, few have fully integrated these platforms into their claim denial response workflows.