Every leader responsible for the revenue cycle is acutely aware that denial rates have been rising across the healthcare industry. This trend is partly driven by the use of AI-based systems by payers, as well as the increasing intricacy of CMS guidelines. Additionally, most revenue cycle professionals recognize that AI coding tools have been developed […]
Claim denial rates are a significant challenge for healthcare providers, with substantial variations based on payer type, location, and specific insurance companies. To understand these variations, it’s crucial to analyze the specific claim denial codes issued by each payer. While the industry standard for claim denials hovers between 5% and 10%, certain payers, notably those […]


