2025 Benchmark Report: Key Revenue Integrity and Compliance Trends Shaping Healthcare
Gain the Data You Need to Protect Revenue and Reduce Risk
The 2025 MDaudit Benchmark Report delivers powerful insights from thousands of real-world audits, claims, and compliance workflows across hospitals and health systems nationwide. It’s your annual guide to understanding how denials, audits, and coding performance are shifting — and where technology is making the biggest impact.
From payer pressure to performance improvement, this year’s data tells a clear story: healthcare organizations that adopt Continuous Risk Monitoring in Healthcare and AI-driven analytics are outperforming those relying on manual processes.
Download the full report to see where your organization stands and how to act on the findings.
Inside the 2025 Benchmark Report, you’ll gain key insights, like these:
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Denials on the Rise
Hospital inpatient and outpatient denials grew by double digits in 2025 — 14% in outpatient and 12% in inpatient settings.
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Payer Audits Are Increasing
The total at-risk audit amount per organization climbed 30%, while the average dollar amount per claim rose 18%.
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Technology Unlocks Outcomes
Revenue Integrity teams using MDaudit’s Revenue Integrity and Compliance Platform achieved measurable improvements:
- Risk-based internal audits increased 25%.
- Pre-bill audits rose 30%.
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Outpatient Coding Accuracy Worsens
Outpatient coding-related denials increased another 26% on top of a 126% surge last year.
Understand the Data
The 2025 findings reveal how the healthcare revenue cycle continues to evolve under financial pressure and regulatory change. With this data, leaders can:
- Benchmark performance against national peers
- Identify compliance vulnerabilities before payers do
- Prioritize investments in Compliance Management Platforms for Healthcare
- Strengthen documentation, coding accuracy, and audit workflows
This report helps Revenue Integrity, Compliance, and HIM teams move from reactive to predictive — turning insights into outcomes that expand patient care and deliver a healthier bottom line.
Download Your Free Copy
Access the complete 2025 MDaudit Benchmark Report to explore the data, trends, and recommendations shaping the future of Healthcare Revenue Cycle Management Solutions.
