To calculate the claim denial rate for a hospital, you will need to collect data on the number of insurance claims that are submitted to the hospital and the number of claims that are denied by the insurance provider. This data can be collected through the hospital's electronic medical records system or billing system, or it can be collected manually by reviewing individual insurance claims and the associated denial decisions.

Once you have collected this data, you can calculate the claim denial rate for the hospital by dividing the number of denied claims by the total number of claims submitted.

Here's the formula for calculating claim denial rate:

Claim Denial Rate = (Number of denied claims / Total number of claims submitted) * 100%

It's important to note that the specific time period you choose to measure the claim denial rate will depend on the needs and goals of your healthcare organization. You may choose to measure this metric over a day, week, month, or any other time period that is relevant to your organization.

By tracking and analyzing the claim denial rate for the hospital over time, you can gain a better understanding of the effectiveness of the hospital's insurance claims submission process and identify areas for improvement. This can help to reduce the number of denied claims and improve the overall financial performance of the hospital.