Edit and denials survey shows extended suspense periods and confusion over processes

Why This Topic Matters

The article highlights operational gaps that can affect claim accuracy, cash flow, compliance, and denial remediation. It helps readers understand how responsibility is distributed across departments and why process awareness matters for revenue cycle performance.

Article Sections

1. Demographics

   Survey respondent roles and organization characteristics are summarized to provide context for the benchmark results.

2. Pre-bill hold

   This section discusses how organizations use billing holds or suspense periods, including how they are applied and how long they last.

3. Claim edits

   This section reviews which departments handle edit resolution and how organizations approach edit review and tracking.

4. Denials management and payer updates

   This section covers denial routing, responsibility for denials management, and how payer billing and coding updates are monitored and communicated.