Medical Billing Statistics

Medical Billing Statistics 2023: Facts about Medical Billing outlines the context of what’s happening in the tech world.

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Top Medical Billing Statistics 2023

☰ Use “CTRL+F” to quickly find statistics. There are total 72 Medical Billing Statistics on this page 🙂

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Medical Billing “Latest” Statistics

• By converting what Equifax discovered into a rough ratio, it is assumed that 13% of all medical bills are inaccurate.^[1]
• In emergency departments across the country, 18% of visits result in at least 1 surprise bill, but rates vary by state.^[2]
• Around 75% of health systems said in the poll that they intended to transition to automation technologies to deal with the evolving dynamics of the RCM medical billing business.^[3]
• More than 50% of the health systems already use any such tools for RCM medical billing felt that more such cutting edge technologies created particularly to solve the existing RCM pain points would be beneficial.^[3]
• For the revenue cycle operations, more than 66% of hospitals and healthcare institutions now employ automation systems.^[3]
• Using automation technologies was well received by more than 80% of health institutions with more than $10 billion in revenue.^[3]
• 38.5% of healthcare companies reported working with a single vendor that oversees all facets of the RCM medical billing process.^[3]
• Over 25% of the provider organizations are working towards building remote working technologies for any future purpose though they are not in favor of going completely remote as of now.^[3]
• More than 60% of the firms want to introduce new technologies by the end of 2021, compared to 30% who did not employ automation in their normal RCM medical billing activities.^[3]
• The National Heath Care Anti-Fraud Association estimates conservatively that health care fraud costs the nation about $68 billion annually — about 3% of the nation’s $2.26 trillion in health care spending.^[4]
• 41% of working-age Americans are either experiencing medical bill issues or are paying medical debt, up from 34% in 2005.^[5]
• In 2016, 68% of patients with up to $500 in medical bills didn’t pay off the full balance, a 19 percentage point increase from 2014.^[5]
• According to InstaMed, 39% of healthcare professionals claim that billing and collections have little impact on patient satisfaction.^[6]
• In 2021, according to 49% of medical practices, the number of days spent on Accounts Receivable grew.^[6]
• According to InstaMed, 71% of consumers expect telehealth to be an option at least some of the time, and nearly half want it whenever possible.^[6]
• Medical offices have modified their operations in response to shortages, with 76% of practices seeing personnel as their main pandemic concern.^[6]
• In order to have a better experience with payments, 74% of millennials and only 27% of baby boomers would switch healthcare providers.^[6]
• 83% of hospitals failed to abide with at least one significant CMS pricing transparency regulation requirement.^[6]
• A smartphone app for paying medical expenses would be downloaded and used by 85% of millennials.^[6]
• Already existing automated administrative procedures save providers an estimated $166 billion yearly.^[6]
• Consumer out-of-pocket healthcare costs are estimated to reach $491.6 billion (roughly $1,650 per person) by 2025.^[6]
• 48% of families paid for healthcare in the previous year, and 17% paid $1,500 or more.^[6]
• By completely implementing electronic transactions, the healthcare industry may save $20 billion, or 48% of current annual spending.^[6]
• 9% of customers who get medical bills in the mail wish to pay them using paper checks, even though 70% of consumers do.^[6]
• 25% of customers have abandoned a medical bill transaction because they were unable to pay with a credit or debit card.^[6]
• According to Hayes Management, In the first 10 months of 2021, 40% of all coronavirus-related claims were rejected.^[6]
• 3% of customers have actually registered in electronic healthcare statements, despite 73% of consumers saying they would.^[6]
• According to InstaMed, 87% of customers prefer to pay for all of their medical expenses in one location.^[6]
• The anticipated employment outlook for medical coding and billing is 8%, which is substantially quicker than the national average.^[6]
• Only 10% of providers and 1% of payers, respectively, chose paper checks for payment and electronic funds transfers with fees.^[6]
• According to a Harvard Medical Practice research, 70% of mistakes that result in adverse consequences are thought to be the product of neglect, and more than 90% are seen to be avoidable.^[7]
• Even though 63% of those claims were receivable, it still cost $118 per claim or up to $8.6 billion in administrative expenditures associated with appeals.^[7]
• Paper checks delivered through email continue to be used for 37% of medical claim payments.^[7]
• Compared to six years before, health systems and hospitals wrote off 90% more claim rejections as uncollectible in 2017.^[7]
• By 2020, patient responsibility is anticipated to increase to 50% of healthcare expenses. Hospitals have provided more than $538 billion in uncompensated care.^[8]
• By 2021, 95% of patients are anticipated to fall short of paying off their remaining medical debt.^[8]
• Partition insights medical billing outsourcing was led by the outsourced category, which had the highest revenue share (52.5%).^[9]
• Healthcare providers or companies often spend 30 to 40% of their revenue on the billing process, and it is anticipated that around 20% of doctors’ income would be lost owing to health billing problems.^[9]
• In terms of revenue, North America accounted for 47.5% of the market for medical billing outsourcing in 2021.^[9]
• With a revenue share of 38.9% in 2021, the frontend services sector led the medical billing outsourcing market.^[9]
• From 2022 to 2030, the market for medical billing outsourcing is projected to expand at a compound yearly growth rate of 12.03% , reaching $30.2 billion.^[9]
• The size of the worldwide market for medical billing outsourcing was predicted to be $11.1 billion in 2021 and 12.2 billion in 2022.^[9]
• With a revenue share of 47.1% in 2021, the hospital sector led the market for medical billing outsourcing.^[9]
• 91% of providers still receive paper checks from one or more payers, yet 82% of providers prefer electronic funds transfer from payer.^[10]
• 56% of customers would be unable to afford a medical charge that was greater than $10.^[10]
• Consumers are perplexed by communications from their insurance providers, with 71% of respondents reporting that their Explanation of Benefits is perplexing.^[10]
• 69% of healthcare professionals said that patient responsibility rose in 2018 compared to 2017.^[10]
• 77% of service providers claim that it takes more than a month to get any money.^[10]
• Industry income has expanded over the previous five years at an annualized rate of 12.2% to $49 billion, with an expected growth of 5.7% in 2021 alone.^[11]
• Over the 5 years to 2021, the Medical Billing Services industry has experienced a surge of growth due to heightened downstream demand for industry services.^[11]
• Approximately 18.3% of respondents to the AAPC’s 2016 wage survey work for a big health system, and 13.2% work for large group practices.^[12]
• The BLS predicts that between 2016 and 2026, there will be a 20% increase in the number of jobs available for managers of medical and health services.^[12]
• The Bureau of Labor Statistics predicts that between 2016 and 2026, there will be a 13% growth in the number of jobs for medical records and health information technologists, which includes medical billers and coders.^[12]
• Physician services accounted for the majority of expenses among survey respondents who said they had previously been startled by medical bills (53%), closely followed by laboratory testing (51%).^[13]
• According to a new AmeriSpeak survey from NORC at the University of Chicago, 57% of American adults have been startled by a medical cost that they believed would be covered by insurance.^[13]
• Due to the expense, 21% of persons between the ages of 18 and 64 have not sought a recommended medical test or treatment.^[14]
• According to American Journal of Medicine (2009), 48% of those who filed for bankruptcy due to medical expenses cited hospital costs as their major outlay.^[14]
• Medical expenses or lost wages as a result of illness or caring for others were cited by 62.1% of those who filed for bankruptcy as the cause for their bankruptcy.^[14]
• According to a 2016 Kaiser Family Foundation and New York Times survey, more than 1 in 4 Americans had trouble paying a recent medical bill.^[14]
• According to the California Health Care Foundation (2019), 28% of all U.S health spending is covered by the federal government.^[14]
• According to the American Journal of Medicine, in 2009, 15.1% of those who had medical bankruptcy cited medical costs as their major expenditure.^[14]
• 53% of Americans with unpaid medical bills claim to have negotiated a payment plan with their provider.^[14]
• Doctor visits accounted for 65% of the reported services that caused issues with medical bills.^[14]
• Among those with medical bill problems, 29% say problems with medical debt started causing problems with paying other, non-medical bills.^[14]
• Among those with medical bill problems, 44% say those problems had a major impact on their family.^[14]
• 23% of the total amount spent on private health insurance is covered by the government (mostly, as contributions to employer-sponsored health plans).^[14]
• According to California Health Care Foundation (2019), the U.S spends 33% of its health budget on hospital treatment.^[14]
• The 2019 California Health Care Foundation projects that by 2027, health expenditure will account for 19.4% of GDP.^[14]
• Medicaid spending accounts for 9.5% of the U.S. federal budget. (California Health Care Foundation, 2019).^[14]
• According to Consumer Financial Protection Bureau (2014), 54% of consumers with medical debt have no other debts listed on their credit reports.^[14]
• Medical billers and coders make up 66% of the population and have an average age of 40.^[15]
• The most common ethnicity among medical biller coders is White, which makes up 65.7% of all medical biller coders.^[15]

Also Read

How Useful is Medical Billing

At its core, medical billing is the process of submitting and following up on claims with health insurance companies to receive payment for services rendered by a healthcare provider. Without proper and efficient medical billing practices in place, healthcare facilities would struggle to maintain their operations and find it challenging to continue providing care to patients.

One of the primary purposes of medical billing is to ensure that healthcare providers receive reimbursement for the time, effort, and resources they invest in treating patients. Healthcare services are not free, and without timely payment from insurance companies, healthcare facilities may struggle to stay afloat financially. In essence, medical billing is a vital part of the revenue cycle for healthcare providers, enabling them to cover expenses, pay staff, and invest in cutting-edge technology and resources to improve patient care.

Moreover, medical billing helps to keep healthcare costs in check by accurately tracking and documenting the services provided to patients. By ensuring that all services rendered are properly coded and billed according to established guidelines, medical billing helps to prevent errors and discrepancies that could lead to unnecessary costs. This, in turn, can help to minimize the financial burden on patients and insurance companies, ultimately contributing to a more sustainable healthcare system.

In addition to financial considerations, medical billing also plays a crucial role in ensuring that patients receive accurate and timely information about their healthcare services and associated costs. Clear and transparent billing practices help patients understand what services were provided, how much they cost, and whether or not their insurance will cover the expenses. By promoting transparency and accountability in billing practices, medical billing fosters trust between patients, healthcare providers, and insurance companies, ultimately enhancing the overall patient experience.

Furthermore, effective medical billing practices support data collection and analysis efforts that can inform decision-making and drive improvements in healthcare delivery. By tracking trends in billing data, healthcare providers can identify areas for improvement, identify opportunities to streamline processes, and implement strategies to enhance efficiency and quality of care. In this way, medical billing serves as a valuable tool for continuous quality improvement in the healthcare industry.

In conclusion, medical billing is a critical and indispensable component of the healthcare system that supports the financial stability of healthcare providers, promotes cost-effectiveness and transparency in healthcare delivery, and drives improvements in healthcare quality and efficiency. Without efficient and accurate medical billing practices in place, the healthcare industry would struggle to function effectively and provide the level of care that patients need and deserve.

Reference

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1. etactics – https://etactics.com/blog/medical-billing-error-statistics
2. jamanetwork – https://jamanetwork.com/journals/jama/fullarticle/2760721
3. qwayhealthcare – https://qwayhealthcare.com/blog/top-statistics-rcm-medical-billing-2021/
4. bcbsm – https://www.bcbsm.com/health-care-fraud/fraud-statistics.html
5. beckersasc – https://www.beckersasc.com/asc-coding-billing-and-collections/3-statistics-on-medical-billing-patient-payments.html
6. collaboratemd – https://www.collaboratemd.com/blog/medical-billing-statistics-and-trends/
7. drcatalyst – https://www.drcatalyst.com/medical-claim-denials-appeals-statistics-that-you-want-know
8. financesysteminc – https://www.financesysteminc.com/10-patient-pay-statistics-you-should-know/
9. grandviewresearch – https://www.grandviewresearch.com/industry-analysis/medical-billing-outsourcing-market
10. healthleadersmedia – https://www.healthleadersmedia.com/finance/77-providers-say-collecting-any-payment-takes-more-month
11. ibisworld – https://www.ibisworld.com/united-states/market-research-reports/medical-billing-services-industry/
12. medicalbillingandcoding – https://www.medicalbillingandcoding.org/qnas/the-coder-is-in-demand-medical-billers-coders/
13. norc – https://www.norc.org/NewsEventsPublications/PressReleases/Pages/new-survey-reveals-57-percent-of-americans-have-been-surprised-by-a-medical-bill.aspx
14. singlecare – https://www.singlecare.com/blog/medical-debt-statistics/
15. zippia – https://www.zippia.com/medical-biller-coder-jobs/demographics/