MDaudit was recently featured in Cloud Awards highlighting a critical challenge facing hospitals today: the rapid rise in claim denials and the urgent need to respond with data-driven strategies. In the article, MDaudit CEO Ritesh Ramesh explores how five key metrics from MDaudit’s benchmarking database — covering nearly 800,000 providers and over 4,000 U.S. facilities — reveal deeper financial pressures lurking beneath improving operating margins.
The piece underscores how denial amounts are climbing, with inpatient claims up 6.5% and outpatient claims surging 11% year over year. Coding-related denials alone have increased 11% overall, while payer audits have intensified dramatically, with at-risk dollars and audit volumes rising 2.5×. These trends signal a pivotal moment for hospitals to reassess their revenue integrity strategies.
Ramesh calls for a proactive approach that blends real-time analytics, AI-powered insights, automation, and human oversight to combat mounting payer scrutiny, reduce revenue leakage, and protect margins.
Read the full article: Five Metrics Demonstrating Why Hospitals Must Fight Back Against Escalating Claim Denials
