Gartner Research

Healthcare Provider Revenue Cycle Technology Is Underutilized in Tackling Industry Claims Denial Problem

Published: 26 September 2017

ID: G00336175

Analyst(s): Barb Mann


U.S. healthcare providers face mounting operational costs and revenue risk due to preventable high-cost claims denials. To improve the bottom line, CIOs must engage revenue cycle management claims denial workflow and prevention automation, analytics, and leadership accountability.

Table Of Contents


  • The High-Cost Impact of Denials
  • Understanding the Root Cause of Ever-Evolving Denials
  • Managing Denials and Detecting New Sources With Today's Solutions
  • Emerging Solution Capabilities Are Required to Increase Efficient Denial Prevention
  • CIO Next Steps
    • Recommendations

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