DecisionHealth, DecisionHealth - 2013 Issue 10 (October)
Benchmark: Denial rates for new patient visits by provider type, 2011 vs. 2012
The more you do something, the better you are it. This old truism certainly seems to apply to new patient E/M codes. We looked at the denial rates of new patient visits for specialists in 2011 and 2012, and compared them to denial rates for primary care physicians in the same period. The results are striking: On average, primary care gets denied twice as much as specialists for codes 99201-99205.
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