White Paper
Worth the Work: The Revenue Contribution of Third-Party Claims
Perspective: An Often-Overlooked ROI Even though motor vehicle accident (MVA) and workers’ compensation claims comprise only a small percentage of an organization’s total claims, they have a higher reimbursement rate than other claim types and can be worth millions of dollars in annual revenue for many hospitals. For example, while a hospital may realize a 40% reimbursement rate for commercial insurance and a 25% reimbursement rate for Medicare, it can reap a 70% reimbursement rate for MVA and workers’ compensation claims. Moreover, with the right approach, 30% to 40% of these claims may be paid at 100% of billed charges. Given the favorable reimbursement rates, it makes sense for hospitals to devote resources where the return on investment is likely to be high.