2025 Payor Denial Impact Report
Denial management, appeal strategies, and AI-driven RCM improvements for hospital outreach, independent laboratories, molecular diagnostics, and pathology practices
Effectively managing denials and appeals remains critical to sustaining financial performance in today’s healthcare landscape.
The 2025 Payor Denial Impact Report delivers a detailed analysis of more than 20 million XiFin customer claims, spotlighting denial trends, appeal outcomes, and the transformative role of artificial intelligence (AI) across hospital outreach, clinical laboratories, molecular diagnostics, and anatomic pathology.
Download this white paper to explore:
- Denial Propensity and Top Denial Reasons: See how denial rates and reasons vary across segments and payor groups and uncover the most persistent denial types.
- Appeal Success by Payor and Segment: Identify which appeals succeed most often—and how to allocate resources where recovery potential is most significant.
- Top Appeal Types and Revenue Impact: Learn which appeal strategies deliver the strongest financial returns.
- Multi-Level Appeal Trends: Understand why second and third appeals can drive significant incremental reimbursement.
- AI-Driven RCM Improvements: Discover how embedded AI streamlines exception processing, automates insurance capture, decodes vague payor messages, and accelerates reimbursement.
The report also provides actionable recommendations for leveraging workflow automation and embedded AI to reduce costs, strengthen denial prevention, enhance patient and payor communication, and improve financial performance.
Equip your organization with the data-driven insights needed to turn denials into revenue, advocate for payor transparency, and build a more resilient financial foundation.