Denied claims cost you twice — lost reimbursement and the staff time to rework them. Put real numbers to both, per week, month, and year, and see the combined annual impact on your practice.
Reimbursement you never collect when denials aren’t worked to resolution.
Your revenue loss
Staff time and overhead spent chasing and resubmitting denied claims.
Your rework cost
Combined annual impact of denials
$275,200/year
Lost reimbursement plus rework cost. Cutting your denial rate and working denials to resolution recovers most of it. Rework benchmark (~$25/claim) per MGMA. Estimation only.
Estimation only. Actual losses depend on your payer mix, appeal success, and how many denials are truly recoverable. Use the denial-code lookup to work the specific CARC/RARC codes driving yours.
Most of that is recoverable.
Aethera lowers denial rates and works every denial to resolution. See how much of this number we could win back for your practice.
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