But there are unexpected consequences too. Some consequences of denials are expected, including increased days in accounts receivable (A/R), growth in write-off rates, increase cost to collect, and stagnant cash flow. This is money left on the table, and the industry is still looking for solutions to tackle the issue. b Included in this percentage are denials stemming from commercial health plans, which-according the previously cited research-constituted 58 percent of all denials in 2017, up from 54 percent in 2016. Up to 65 percent of denied claims are never resubmitted. Providers typically do nothing at all to address more than half of denials. According to recent research into denial rates reported in February, out of $3 trillion in total claims submitted by healthcare organizations, $262 billion were denied, translating to nearly $5 million in denials, on average, per provider. Despite changes in payment methodologies, claim denials cause sizeable revenue leakage for healthcare providers across the United States.
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