Fact Based List:

Percentage of inpatient and outpatient claims initially denied for any reasons by payor category

  1. 2021: Commercial/all managed care: 14.1%
  2. 2021: Medicare (traditional): 3.4%
  3. 2022: Commercial/all managed care: 14.8%
  4. 2021: Medicare (traditional): 3.3%
  5. 2023*: Commercial/all managed care: 15.1%
  6. 2023*: Medicare (traditional): 3.9%

Source: Crowe: Time for a Commercial Break, May 16, 2023
Source URL: https://www.crowe.com/-/media/crowe/llp/widen-media-files-fo...
Notes: *Through first 3 months of 2023