Author: Kendall Smith, MD | Chief Medical Officer & Chief Physician Advisor – PayerWatch & AppealMasters
9/5/2024
In response to: Final Denial Rate for Inpatient Claims in 2023 Was More Than 50 Percent Above the Same Rate in 2021, According to Kodiak Solutions Data (yahoo.com)
The recent rise in final denial rates for inpatient claims, reaching 3.4%, is a reminder of the growing challenges hospitals face in securing rightful reimbursement for the care they provide. At PayerWatch, we see firsthand how these denials impact hospitals—not just financially, but in the resources needed to resolve them and the potential delays in patient care.
Hospitals are under pressure to navigate increasingly complex insurance requirements, and it’s more important than ever to have a strong defense against unjust denials. That’s where we step in. Our team at PayerWatch is dedicated to helping hospitals fight back, leveraging clinical expertise and real-time data through our Veracity™ platform to streamline the denial management process. We ensure hospitals have the tools and support needed to overturn denials, protect revenue, and focus on delivering patient care.
This trend in denial rates highlights the necessity of proactive, strategic approaches. By aligning clinical documentation, coding, and billing efforts, hospitals can reduce the risk of denials and safeguard their financial health. At PayerWatch, we’re proud to partner with hospitals to navigate these challenges and ensure they’re paid for the care they provide.
