Minimizing Revenue Loss Due to Inpatient Status Downgrades

Hospital revenue has taken a hit in recent years due to hurdles in meeting inpatient criteria established by payers. When these criteria aren’t met, payers will deny inpatient status, resulting in a payout reduction of up to 80%. Nowhere is this more common than with managed Medicare payers.

So how can hospitals mitigate revenue loss as a result of inpatient status downgrades?

In this insight, you’ll learn the how to best prevent inpatient payment denials by improving:


Streamlining and improving the way people and teams in your organization interact


Developing and refining process maps to simplify handoffs and submissions


Leveraging technology to automate submissions and process monitoring