For the index, denial rate is defined as the original denial rate as expressed as percentage of claim dollars that were initially denied in relation to dollars billed on a remitted claim. The data used for the comparison is based on internal McKesson data.
Here are the average claim denial rates for large hospitals, organized by geographic region, according to the Revenue Cycle Index.
- Northern Plains — 10.58 percent
- South Central — 8.88 percent
- Midwest — 7.89 percent
- Southern Plains — 7.72 percent
- Pacific — 7.58 percent
- Northeast — 7.21 percent
- Mountain — 7.18 percent
- Southeast — 7.14 percent
RelayHealth’s Revenue Cycle Index can be accessed here.
More articles on healthcare finance:
5 hospital bankruptcies, closures so far in 2017
Moody’s: GOP’s American Health Care Act is credit negative for nonprofit hospitals
HHS says it can’t eliminate Medicare appeals backlog by the end of 2020
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.