{"id":18213,"date":"2026-06-09T19:08:00","date_gmt":"2026-06-09T17:08:00","guid":{"rendered":"http:\/\/stocks-future.com\/?guid=16c75532e7c8b1940614778f241bd8f0"},"modified":"2026-06-09T19:08:00","modified_gmt":"2026-06-09T17:08:00","slug":"availity-demonstrates-industry-shift-from-denial-management-to-prevention-with-new-resource","status":"publish","type":"post","link":"https:\/\/stocks-future.com\/?p=18213","title":{"rendered":"Availity Demonstrates Industry Shift from Denial Management to Prevention with New Resource"},"content":{"rendered":"

\nNew industry resource outlines practical strategies to help healthcare providers prevent denials and strengthen revenue cycle performance.<\/i><\/p><\/a><\/a>

JACKSONVILLE, Fla.--(BUSINESS WIRE)--Availity<\/a>, the nation's largest health information network, today announced the release of its latest industry resource, \u201cA Guide to Preventing Denials and Protecting Revenue.\u201d The new eBook is designed to help providers move beyond back-end denial management and adopt a more proactive, connected approach to denial prevention.<\/p>

\nAs claim denials continue to place operational and financial pressure on healthcare organizations, Availity is helping define the next era of revenue cycle management: one where providers use better data, payer connectivity, and predictive intelligence to prevent avoidable denial<\/b>s before they disrupt cash flow, staff capacity, and patient experience.<\/p>

\nAccording to the recent Availity Abrasion Index<\/i><\/a>, 90% of providers and 87% of payers view denials as a major abrasion point. Many denials are due to inaccurate data or submissions and could be addressed earlier in the administrative process. While approximately 70% of denied claims are eventually overturned, the appeals process is costly at $57.23 per claim in 2023. Collectively, this underscores the growing administrative and financial challenges impacting revenue cycle teams.<\/p>

\nDenials are no longer simply a back-office reimbursement issue. They are a systemic workflow challenge tied to data quality, payer connectivity, administrative complexity, and the ability to act before a claim is submitted.<\/p>

\n\u201cClaim denials are one of the most persistent and costly challenges in healthcare revenue cycle management,\u201d said Russ Thomas, CEO of Availity. \u201cWith the right data, connectivity, and AI-driven insights, providers can prevent issues before submission, improve clean claim rates, and significantly reduce administrative burden. <\/b>That is where the industry needs to move\u2014from reacting to denials after the fact to preventing them upstream through connected, real-time information exchange.\u201d<\/p>

\nWhy are claim denials increasing?<\/b><\/p>

\nIncreased denials can often be attributed to inconsistent data quality, complex payer rules and lack of real-time payer connectivity, which drive nearly half of all denials. As denial rates continue to climb, providers face increasing operational strain and financial risk. Recent analysis shows that between 38% and 41% of providers report denial rates at or above 10%. Compounding this is the fact that 89-90% of denials involve manual review or intervention, which delays care and costs payers and providers time and money.<\/p>

\nIn addition, consider that:<\/p>