Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Final-Effort Insurance Collections can Lead to Major Cash Recovery

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Sponsored by: Healthcare Financial Resources

Too often, denial resolution efforts are abandoned by the hospital’s internal billing staff or primary accounts receivable (AR) management firm once the claim reaches a specific age. An estimated 65% of claim denials are never corrected and re-submitted for reimbursement.

This poor follow-up rate reflects a widespread belief that chasing aged, low-value denials is not a cost-effective use of limited resources. Unfortunately, this can all but guarantee potentially-significant amounts of insurance dollars are left on the table.

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