Average claim denial rate for large hospitals, by region

Large hospitals — those with between 250 and 400 beds — in the Northern Plains have a higher average claim denial rate than large hospitals in any other U.S. geographic region, according to RelayHealth Financial's Revenue Cycle Index.

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

© Copyright ASC COMMUNICATIONS 2019. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.

 

Top 40 Articles from the Past 6 Months