The average cost to rework a denied claim can run up to $15 per claim that add up daily and add up fast. For many practices, there just isn’t enough time or resources to rework every denial, which can leave a lot of money on the table. An estimated $262 billion, or 9 percent, of the estimated $3 trillion in claims submitted by hospitals last year were initially denied.
The client was struggling with their day to day billing due to high staff turnover. They had part-time help in order to keep up with their billing daily operations and hired a new medical biller as well. Their A/R was not being followed up on due to the lack of sufficient medical billing staff. It was all the practice could do just to get claims out in a somewhat timely fashion.