RelayHealth Financial Reports Claim Denial Trends

Monday, February 29, 2016

ALPHARETTA, Ga.--(BUSINESS WIRE)-- Today RelayHealth Financial disclosed denial rate data for more than 262 million claims processed between October 1, 2015 and February 15, 2016. Of the $810 billion in claims processed by more than 2,400 hospitals and 630,000 providers using RelayHealth Financial revenue cycle management solutions, just 1.6% have been denied. This denial rate has remained unchanged since November and represents approximately $12.9 billion in denied claims since Oct. 1st.

This Smart News Release features multimedia. View the full release here:

“The good news is that we’re not seeing a marked increase in claim denial rates, and there is heightened interest in denial management and prevention,” said Marcy Tatsch, vice president and general manager, Reimbursement Solutions for RelayHealth Financial. “The bad news is that as many as 1 in 5 claims is still denied or delayed1–which can mean a dip of as much as 3% in a hospital or health system’s revenue stream2. While it’s important to keep monitoring those KPIs that are monitored on RelayHealth Financial’s Denials Dashboard, healthcare providers should now ramp up their broader denial prevention and management efforts.”

To help providers understand and navigate the challenges surrounding strategic denial prevention and management, RelayHealth Financial now offers an online resource: The site features a number of resources that focus on best practices and operational considerations, with links to case studies, white papers, and a webinar focused on helping providers reduce and manage denials.

Visit RelayHealth Financial at HIMSS16 in the McKesson booth #4002.

For more information on RelayHealth Financial’s revenue cycle management solutions, visit our website, learn from our experts at the RelayHealth blog, or follow us on Twitter at @RelayHealth.

For more information on McKesson Health Solutions, please visit our website, hear from our experts at MHSdialogue, and follow us on Twitter at @McKesson_MHS.

Related McKesson RelayHealth Financial News

HIMSS 2016: RelayHealth Financial Helps Smooth the Path to Payment by Rethinking the Connection of Financial and Clinical Data

RelayHealth Financial Processes $25 Billion Worth of ICD-10 Claims

RelayHealth Financial Unveils

RelayHealth Financial and Ovation Revenue Cycle Services Form Strategic Alliance

About RelayHealth Financial

Every day across America, more than 2,400 hospitals and health systems rely on RelayHealth to help them process over 3.3 billion transactions worth $1.8 trillion annually. Our broad array of revenue cycle management solutions use the power of the cloud and big data to help healthcare professionals make better financial decisions for their organizations and patients, right at the point of care. Nobody does more than RelayHealth to bring healthcare connections to life. For more information, visit

About McKesson

McKesson Corporation, currently ranked 11th on the FORTUNE 500, is a healthcare services and information technology company dedicated to making the business of healthcare run better. We partner with payers, hospitals, physician offices, pharmacies, pharmaceutical companies and others across the spectrum of care to build healthier organizations that deliver better care to patients in every setting. McKesson helps its customers improve their financial, operational, and clinical performance with solutions that include pharmaceutical and medical-surgical supply management, healthcare information technology, and business and clinical services. For more information, visit us at


1. “Automated Billing/Payment Process Can Reduce U.S. Health Care Costs without Sacrificing Patient Care.” PNC Financial Services Group, November 2007

2. “Driving the Denials Management Initiative, a Renewed Focus.” The Advisory Board Company, Washington, D.C., web conference, July 2009

Tags: McKesson, McKesson Health Solutions, RelayHealth Financial, Revenue Cycle, Revenue Cycle Management, claims management, patient access, analytics, reimbursement