decisionhealth Newsletters, Part B News - 2013 Issue 7 (July)
Benchmark: AMA: Practices miss more than $3 of revenue for some reworked claims
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Article Overview
This article summarizes an AMA benchmark report on the administrative burden associated with reworked claims across selected health insurers. It highlights payer-level comparisons, claim rework rates, average costs tied to rework, and the operational reasons practices may need to spend extra time on claims follow-up. The piece is relevant to billing teams, practice managers, revenue cycle staff, and others tracking payer-related administrative friction and its financial impact.
Why This Topic Matters
It helps practices understand how claims rework can affect cash flow and staffing time, and it provides a payer comparison context for assessing administrative burden. Readers can use it to evaluate why certain claims processes create avoidable work and where payer-related inefficiencies may be concentrated.
What You Will Learn
- How an AMA benchmark report measures administrative burden related to claims rework
- What types of payer-related processes can contribute to additional claims work
- How rework rates and average per-claim costs are compared across major insurers
- Why claims follow-up can affect practice revenue and staff time
Who Should Read This
- Medical billing professionals
- Practice managers
- Revenue cycle staff
- Physician practices
- Healthcare administrators
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