Medical Billing Errors Statistics [2025]

July 17, 2024 0 Comments

Financial Impact and Frequency

  1. $935 million is lost weekly in the US healthcare system due to billing errors.
  2. The average cost per medical billing error exceeds $100.
  3. The typical American family loses about $500 annually from incorrect medical billing.
  4. 65% of US adults have encountered medical billing errors at some point.

Causes of Errors

  1. Over 25% of billing errors stem from typos.
  2. Hospital coding mistakes contribute to 63% of all billing errors.
  3. Errors in clinical documentation account for 44% of billing inaccuracies.
  4. 22% of errors are due to mismatched patient information.

Specific Error Types

  1. 7% of billing errors are related to unbundled charges.
  2. 50% of insurance denials result from billing mistakes.

Institutional Impact

  1. Small hospitals experience an average of 30 preventable billing errors each week.
  2. The quality and accuracy of clinical documentation are linked to 44% of billing errors.

Broader Healthcare System Impact

  1. 44% of errors are tied to clinical documentation issues.
  2. Over 50% of insurance claim denials are due to billing errors.

Additional Insights

  1. Coding errors are responsible for 63% of billing mistakes.
  2. Small hospitals face around 30 preventable errors weekly.

Overlapping and Redundant Statistics

  1. 50% of insurance denials are due to incorrect billing.
  2. $935 million is lost weekly in the US due to billing errors.
  3. Typos cause over 25% of all billing errors.
  4. 65% of US adults have faced billing errors.