States with the lowest, highest final claims denial rates

The weighted average final claims denial rate for the five best-performing states was 1 percent through the first six months of 2023 compared to 7 percent for the bottom five, according to a report published Sept. 11 by Crowe, a public accounting, consulting and technology firm.

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Crowe Revenue Cycle Analytics software monitors patient financial transactions from more than 1,800 hospitals and 200,000 physicians across the U.S. to help providers manage net revenue and monitor revenue cycle performance. 

The states with the lowest final denial rates:

1. Hawaii: 0.4 percent 

2. Connecticut: 1 percent

3. Utah: 1.1 percent

4. Minnesota: 1.2 percent 

5. Louisiana: 1.3 percent 

The states with the highest final denial rate:

1. Georgia: 10. 4 percent 

2. Missouri: 10.3 percent 

3. South Carolina: 8.6 percent 

4. Michigan: 5.7 percent 

5. Pennsylvania: 5.4 percent 

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.

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