The firm surveyed 131 hospital executives via LinkedIn between April 27 and May 20.
Below are the survey’s findings on American hospitals’ average denial rates.
- Thirty-three percent of hospital executives said their average denial rates were more than 10 percent.
- Sixteen percent of hospital executives said their average denial rates were between 8 percent and 10 percent.
- Twenty percent of hospital executives said their average denial rates were between 5 percent and 7 percent.
- Thirty-one percent of hospital executives said their average denial rates were less than 5 percent.
Below are four key concerns hospital executives have regarding denials, followed by the percentage of respondents who listed them as their top concern.
- Coding (32 percent)
- Medical necessity for acute inpatient stays (30 percent)
- Front-end processes (20 percent)
- Clinical validation denials (18 percent)