DecisionHealth, DecisionHealth - 2011 Issue 11 (November)

Benchmark of the Week: E/M denials by place of service, 2009 vs. 2010

This chart looks at denial rates for E/M services by code level and by primary care versus specialists, based on the latest two years of CMS claims data. NOTE: “Primary care” reflects combined data for family practice, general practice and internal medicine. “Specialists” represent combined data for most other specialties recognized by CMS, excluding those with low annual Medicare utilization, such as plastic surgeons.

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