What's Better...4% Error Rate or 20% Error Rate?
National Journal – AMA: Inaccurate Claims Payment Increase Among Private InsurersThe rate of inaccurate claims payments has increased among the leading private health insurers, according to the latest American Medical Association's National Health Insurer Report Card.
The annual report released Monday found commercial health insurance companies have an average claims-processing error rate of 19.3 percent -- up 2 percent from last year's report -- costing the health care system an estimated $1.5 billion in unnecessary administrative fees.
"A 20 percent error rate among health insurers represents an intolerable level of inefficiency that wastes an estimated $17 billion annually," said AMA Board Member Dr. Barbara McAneny, an oncologist in Albuquerque, N.M., said in a statement. "Health insurers must put more effort into paying claims correctly the first time to save precious health care dollars and reduce unnecessary administrative tasks that take time and resources away from patient care."…
Medicare, the public health care system for senior citizens and people with disabilities, maintained an accuracy level of 96 percent both years.