Tanya Sanderson, RN, BSN, MBA, MHA, CLNC, Senior Director of Revenue Integrity at XSOLIS.
In an early 2023 brief published by KFF, CMS transparency data for 2021 revealed an average denial rate of 17% for all in-network claims, with authorization denials reported as high as 24% of denial volume for some plans and medical necessity denial rates as high as 37% for others.
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