Healthcare Leaders' Confidence in Denials Management

This report presents findings from a market study conducted by Knowtion Health, focusing on the confidence levels of healthcare leaders regarding their organizations' denials management strategies. The study reveals that a significant majority of hospital CFOs and revenue cycle leaders, specifically 78%, anticipate that achieving cash and cash flow targets will become increasingly critical over the next three years due to rising denial rates and underpayments. The report outlines several key findings, including that 57% of hospitals are experiencing denial rates of 10% or more, and nearly 20% of revenue cycle leaders view their current denials management processes as ineffective. Additionally, the report highlights a notable gap in expertise, with 37% of leaders identifying insufficient skilled talent as a major barrier to improving revenue recovery. The analysis concludes with five practical recommendations for revenue cycle executives to enhance their denials management strategies in a challenging financial environment.