DecisionHealth, DecisionHealth - 2010 Issue 4 (April)

Benchmark of the Week: Top 10 GPCIs with highest E/M denials, 2007-2008

Major metropolitan areas and two island territories saw the highest E/M denial rates in 2008, CMS claims data shows. Six of the top 10 high-denial geographic practice cost indices (GPCIs) are in big cities on the coasts; two are in the West and two are territories. NOTE: E/M denials were measured by compiling denials for all established and new outpatient visits, initial and subsequent hospital visits, and all consultation codes, which are no longer paid by Medicare.

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