Denials, payer challenges are burdening revenue cycle leaders

General insurance denials and specific payer challenges are the biggest revenue cycle challenges facing providers, according to a Sept. 14 report from Plutus Health. 

Plutus Health surveyed more than 200 healthcare providers about their RCM processes and plans, according to a Sept. 14 news release from the company. 

These are the top 10 RCM challenges in 2023, according to the report: 

1. General insurance denials: 59 percent

2. Specific payer challenges: 45 percent 

3. Staffing shortages: 41 percent 

4. Cost of collection: 25 percent 

5. Medical coding inaccuracies: 22 percent 

6. Policy changes (No Surprises Act): 21 percent 

T-7. Quality of financial reporting: 13 percent 

 T-7. Value-based care: 13 percent 

T-9: Budget: 12 percent 

T-9: Provider credentialing: 12 percent 

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