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...