Experian conducted a survey in June of 200 healthcare professionals who work in claims and are part of the decision-making process for purchases expected to improve the claims process, according to the report. The sample represented primarily executive and management roles in finance and operations.
Here are the top operational challenges leaders said are increasing denials:
1. Insufficient data and analytics to identify submission issues — 62 percent
2. Lack of automation in claim submission/denials prevention process — 61 percent
3. Lack of staff training — 46 percent
4. Lack of in-house expertise — 44 percent
5. Dated technology, inadequate for the work — 33 percent
6. Staffing shortages — 30 percent
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