If you're a provider, finding and correcting payment variance isn't easy. For that reason, MGMA estimates that 50-65% of unclean claims are never reworked and remain under (or over) paid.
Download this free ebook to learn how your practice can take a more proactive approach to payment variance.
In healthcare, payment variance is the difference between what you expect to receive from a claim and what you actually receive. In most cases, “variance”refers to underpayment, but overpayment happens too. According to the Medical Group Management Association (MGMA), insurers routinely underpay U.S. healthcare providers by an average of 7–11%.