Providers 'potentially wasted' almost $18B in 2023 overturning claims denials, Premier estimates
Fierce Healthcare highlights new findings from Premier Inc. estimating that hospitals and health systems spent $25.7 billion in 2023 contesting claims denials, with a significant portion tied to administrative burden. The report found that nearly 70 percent of denied claims were ultimately paid, suggesting billions of dollars may have been spent appealing claims that should have been approved initially. The article also explores how prior authorization requirements, manual processes and staffing shortages continue to drive inefficiencies in the reimbursement process.
