Denials of claims are increasing, along with the administrative burden of managing them, according to Experian Health's "2024 State of Claims" survey.
The survey, conducted from June 22 to July 10, included responses from 210 healthcare professionals involved in administration, including chief officers, presidents, vice presidents, directors and administrators.
Here are five key insights on the rising burden of claims denials from the survey:
1. Of the surveyed respondents, 43% said that those who say additional eligibility checks take 10 to more than 20 minutes to complete.
2. Seventy-seven percent of survey respondents said that payer policy changes are occurring with more frequency, and 73% said that claim denials are increasing.
3. Nearly 50% of providers still review denials manually. Forty-two percent use an automated review assigned to the manual work queue for resubmission, and 10% have a totally automated process.
4. Most respondents (59%) said they use two solutions at patient intake to gather all information required. Thirteen percent used three solutions and 7% used four or more.
5. Only 54% of respondents said their organizations’ technology is sufficient to address existing revenue cycle management demands.