DecisionHealth, DecisionHealth - 2011 Issue 5 (May)

Benchmark of the Week: Most costly codes by specialty, 2009

You won’t get the full story on revenue losses just by looking at denial rates for the codes you bill. Some services aren’t denied often, but because they pay a lot or you bill them more often, they cause bigger cash losses than high-denial codes. This chart examines the most financially damaging codes for four specialties with very high Medicare utilization and patient populations, based on the latest available CMS claims data from 2009.

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