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Key Takeaways Medical billing claim submission packages patient, provider, service, and authorization data into a standardized form transmitted to payers for adjudication and reimbursement. Hospitals...
Key Takeaways U.S. practices lose an estimated 4 to 5% of revenue annually to billing inefficiencies — for a $3 million practice, that is $150,000...
Key Takeaways CMS recorded a 7.66% Medicare Fee -for-Service improper payment rate in FY2024 — $31.70 billion in incorrect payments — making proactive billing audits...
Key Takeaways Up to 20% of physical therapy claims are initially denied with rework costs ranging from $25 to $117 per claim — only 35%...
Key Takeaways 30% of initial chiropractic claims are denied per the ACA’s 2024 research — nearly three times the outpatient average — driven primarily by...