The Hidden Cost Of Payment Variance

If you’re a provider, finding and correcting these mistakes isn’t easy—or free. MGMA estimates the average cost of reworking an “unclean claim” (any claim with errors) is $25. They also estimate that 50–65% of these claims are never reworked and remain underpaid.

Download our eBook and learn how you can efficiently rework claims.

Payment Variance Impacts More Than Cash

In healthcare, payment variance is the difference between what you expect to receive from a claim and what you actually receive. In most cases, “variance”refers to underpayment, but overpayment happens too. According to the Medical Group Management Association (MGMA), insurers routinely underpay U.S. healthcare providers by an average of 7–11%.

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