Surgepath Multi-Specialty Hospital: rejection falls from 31% to 8%
Surgepath submitted 420 claims per month and had a 31% first-pass rejection rate, driven by ICD-10 coding mismatches and missing prior authorization references. After connecting its HIS to Care.Fi's AI coding and pre-check, the rejection rate dropped to 8% over three months. The billing team now reviews flagged high-risk claims instead of the full claim pool. Its first gap financing advance arrived within 48 hours of enrollment.
Talk to us about your hospital's rejection profile"Claims were being rejected even after our coders had checked them. Care.Fi's pre-check surfaced diagnosis and procedure mismatches we had no consistent way to identify before submission. The first-pass improvement in the first quarter exceeded our expectations."
Accounts Manager, Surgepath Multi-Specialty Hospital, Hyderabad, early-access participant