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THE SECRET TO SUCCESSFULLY APPEALING CLAIM DENIALS

THE TRUTH ABOUT APPEALS

Since 2011, claim denials written off as uncollectable went up a staggering 90%. For a median 350-bed hospital, that could mean $3.5 million lost over four years 1.  While one culprit behind the write-offs is payers denying more claims, providers’ failure to appeal denied claims also played a big part.

The truth is, providers never work 65% of claim denials 2,  saying it takes too long and costs too much. Adding insult to injury, since 2015, hospitals’ appeal success rate has dropped 11% with private payers and 10% with Medicaid 3.  It’s frustrating, yes, but if you don’t pursue appeals, your organization could lose up to 5% of net revenue 4 —too much to simply ignore.

This eBook reveals how to turn the denial appeals process from a burden to a boon to your bottom line. Here’s what’s inside:

[1] LaPointe, Jacqueline. “Hospitals Write Off 90% More Claim Denials, Costing up to $3.5M,” RevCycle Intelligence, November 21, 2017.
[2] LaPointe, Jacqueline. “3 Best Practices for Hospital Claim Denials Management,” RevCycle Intelligence, May 11, 2017.
[3] LaPoint, Jacqueline. “Hospitals Write Off 90% More Claim Denials, Costing up to $3.5M,” RevCycle Intelligence, November 21, 2017.
[4] LaPointe, Jacqueline. “3 Best Practices for Hospital Claim Denials Management,” RevCycle Intelligence, May 11, 2017.