We were proud to have our research cited in DesignRush’s report, 15% of Claims Get Denied: Fix These 3 Costly Billing Gaps. The piece examines why nearly 15% of insurance claims fail on first submission and identifies the three most common compliance gaps driving that problem, including coding errors, documentation mismatches, and scope-to-submission misalignment. MDaudit’s 2024 Benchmark Report was referenced to illustrate the scale of the issue, noting that coding-related denials climbed sharply following the 2023 updates to Evaluation and Management documentation standards.
The article reinforces what our data has consistently shown: most claim denials stem from preventable process gaps, not payer rules. Organizations that invest in regular internal audits, tighter documentation standards, and proactive coding oversight are best positioned to reduce first-submission failure rates and eliminate the costly rework cycle that follows. It is exactly the kind of systemic challenge our billing compliance and revenue integrity solutions are built to address.
