Manual Denial Management – Survey Reveals Surprising Results

Would you believe 31% of all providers are still handling denied claims with completely manual processes? Imagine how difficult that is with EDI 835 remittance files coming in?  Even handling correspondence letters manually is outdated.

According to a HIMSS Analytics survey, about a third of healthcare providers are still manually processing claim denials.

“Given the complexities around submitting claims and the labor associated with managing denials, it came as a surprise that more organizations have not automated the denial management process through a vendor-provided solution,” said Brendan FitzGerald, HIMSS Analytics Director of Research.

Furthermore, the survey revealed

• Only 44% of healthcare providers in the survey used an automated claims denial management solution from a vendor.
• 18% had built an in-house program.
• 16% employ a best-of-breed revenue cycle vendor.

The authors of study concluded:

“The benefits of identifying root causes of denials, denial identity and resolution and fewer write-offs seem to outweigh any challenges with vendor solutions, leading to higher overall satisfaction with solutions in use.”

Read more about the report at RevCycle Intelligence.