The Cost of Billing Denials: A CFO Guide to Clean Claims

The True Cost of a Denial

A single clinical claim denial costs an average of $25 to $117 to re-process, and nearly 60% of commercial billing denials are never re-submitted. This represents millions in lost revenue for mid-sized healthcare operations.

Calculating Your Leakage

CFOs should monitor the Clean Claim Rate (CCR). If your CCR is below 95%, you are losing substantial margin. Millennova’s proprietary rules engine actively scrub claims to maintain a 99.2% clean claim rate, preserving profit margins without increasing clinical staff burden.