predictive analytics

Predictive Modeling Can Detect Meaningful Correlations across Claims Denials Data

By Paul Bradley – The reasons claims are denied are so varied that managing denials can feel like chasing a thousand different tails. This situation is not surprising given that a hypothetical denial rate of just 5 percent translates to tens of thousands of denied claims per year for large hospitals—where real-world denial rates often range from 12 to 22 percent.