Revenue cycle metrics · Definition
Denial rate: Definition
The percentage of submitted claims denied, ideally segmented by cause, payer and provider.
This is a short definition only. The full explanation lives on dermatology revenue cycle KPIs, which is the page to read if you are dealing with this on live claims.
Definition
An aggregate denial rate names nothing.
Segmented by cause it points at a process; segmented by provider it points at documentation; segmented by payer it points at a policy change.
For worked examples, payer rules and documentation requirements, read dermatology revenue cycle KPIs. Return to the dermatology billing glossary.
See this term in your own numbers
A free claims audit reviews a de-identified sample of your dermatology claims and returns a line-item findings report.