27 min

Large Balance Denials, Part 2 Self-Pay Stream

    • Business

A denial, according to HealthInsurance.org, “is the refusal of an insurance company or carrier to honor a request by an individual, or his or her provider, to pay for healthcare services obtained from a healthcare professional." According to Becker’s & Conifer Health Solutions, “an estimated $262 billion of the $3 trillion in claims submitted by hospitals in 2016 were initially denied, representing an average of $4.9 million in potential losses per hospital, according to a 2017 study of more than 3 billion hospital transactions. In part two of a two-part series, our hosts Jeff Johnson, Lisa Kirk and Hayden Reece discuss Large Balance Denials in the context of VA Reimbursements with Kirby Yawn, Senior Vice President, Solution Strategy at Argos Health in Augusta, GA.

A denial, according to HealthInsurance.org, “is the refusal of an insurance company or carrier to honor a request by an individual, or his or her provider, to pay for healthcare services obtained from a healthcare professional." According to Becker’s & Conifer Health Solutions, “an estimated $262 billion of the $3 trillion in claims submitted by hospitals in 2016 were initially denied, representing an average of $4.9 million in potential losses per hospital, according to a 2017 study of more than 3 billion hospital transactions. In part two of a two-part series, our hosts Jeff Johnson, Lisa Kirk and Hayden Reece discuss Large Balance Denials in the context of VA Reimbursements with Kirby Yawn, Senior Vice President, Solution Strategy at Argos Health in Augusta, GA.

27 min

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