Predictors of Insurance Claim Rejection in Hand and Upper Extremity Surgery.

Introduction: Insurance claim rejections represent a challenge for healthcare providers because of the potential for lost revenue and administrative costs of reworking claims.

Methods: The billing records of five hand and upper extremity surgeons at a tertiary academic center were queried for all patient billing activity over a 1-year period yielding a total of 14,421 unique patient encounters.

Results: A total of 11,839 unique patient encounters were included, and the overall claim rejection rate was 19.