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The Denials Dilemma:
Close Coverage Gaps at the Source
Denials continue to drain
For post-acute providers, denials aren’t just operational setbacks – they’re daily disruptions that are costly, disheartening, and avoidable with the right tools.
68% of skilled nursing facilities say claims denials are a significant challenge1
83% of home health and hospice organizations say the same1
The #1 contributor to this problem is front-end breakdowns like prior authorization issues, invalid claims data, and insurance eligibility gaps1.
The desire for early confirmation, less stress
87.8%
Percentage of post-acute leaders who wish they could confirm eligibility and retrieve Medicare Beneficiary Identifier (MBI) before delivering care.2
When eligibility and coverage details are unclear:
These aren’t abstract issues; they’re barriers standing between your team, the care you deliver, and the revenue you rely on.
The message is clear:
front-end visibility isn’t just helpful, it’s foundational.
It’s time to rethink the front-end
- What if eligibility checks weren’t a frantic, last-minute task?
- What if MBI lookups didn’t require workarounds?
- What if your team had time to focus on higher-value work, and had the tools to move with confidence?
That’s the new vision for the post-acute revenue cycle:
smarter, earlier, and far more resilient.
What leading organizations are doing now
Innovative teams are closing coverage gaps at the source, shifting their attention to the earliest stages of the patient or resident journey – and our solutions are helping them make that shift.
Discover the power of automated batch checks for real-time
coverage, integration with your EHR, and MBI retrieval.
- Claims Denials: Causes, Impact, and AI-Enabled Prevention Strategies, Inovalon, Oct 21, 2024, https://www.inovalon.com/resource/claims-denials-causes-impact-and-ai-enabled-prevention-strategies/
- Internal survey, Inovalon, February 2025
