Denial Trends Today
Q1 2016 Review
The HME/DME market has experienced significant changes over the past few years which is line with the healthcare industry as a whole. In the HME/DME space we are seeing varying denial rates within different denial categories. Here are few Q1 highlights.
Of HME/DME claims denied can be attributed to Eligibility reasons – down 2% compared to 2015
BCBS is the payer leading to the greatest percentage of these Eligibility denials.
Q1 2016 Most Common Eligibility denial reason codes:
27: Expenses incurred after coverage terminated
31: Patient cannot be identified as insured
Most Commonly Denied Services
Up 5% from 2015 | Wheelchairs and Hospital Beds
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