MDaudit's 2025 Benchmark Report Reveals Ongoing Acceleration of Payer Audits, Troubling Rise in Denials and Outpatient Coding Issues [Yahoo! Finance]
ACCESS Newswire Inc. (ACCS)
Company Research
Source: Yahoo! Finance
WELLESLEY, MA / ACCESS Newswire / November 18, 2025 / The rate of payer audits accelerated in 2025, with hospital inpatient and outpatient average denial amounts that increased by 14% and 12%, respectively. Denial volumes were also up overall, led by a nearly fivefold increase in Request for Information (RFI) and medical necessity denials for Medicare Advantage plans. The total at-risk amounts, number of claims and average amount per claim increased by 30% in payer audits. Denials related to outpatient coding increased by 26%. These trends send a clear signal to providers that successfully navigating today's complex financial and regulatory landscape requires prioritizing billing compliance, coding integrity, robust denial prevention strategies, and redefining revenue integrity to ensure sustainability. These were among the key findings of the 2025 MDaudit Annual Benchmark Report released today by MDaudit an award-winning cloud-based continuous risk monitoring platform for RCM that
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ACCS
Earnings
- 11/11/25 - Beat
ACCS
Sec Filings
- 12/4/25 - Form 8-K
- 11/12/25 - Form 10-Q
- 11/12/25 - Form 8-K
- ACCS's page on the SEC website