US healthcare providers lose between 1-3% of net revenue annually to underpayments, with some specialties experiencing rates as high as 11%. These losses accumulate silently—one radiology group identified $1.1 million in underpayments from a single payer after implementing specialized medical coding research services. For mid-sized practices managing tight margins, this represents hundreds of thousands in recoverable revenue sitting undetected in closed claims.
The Underpayment Problem...
Small business owners face a daunting financial reality in 2025. Health insurance premiums for small group plans increased by a median of 11% this year, with some insurers proposing hikes reaching 26%. For a company covering just five employees, monthly costs now average $1,432—that's $286 per person before factoring in deductibles or out-of-pocket maximums.
The challenge extends beyond rising costs. According to a Peterson-KFF analysis...
