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DecisionHealth, DecisionHealth - 2010 Issue 11 (November)

Benchmark of the Week: Deviation in inpatient denials, 2008-2009

Summary: Inpatient denial rates seem to differ most based on whether the place of service (POS) is the inpatient hospital (POS 21) or the emergency room (POS 23). This chart shows how specialty-specific denial rates compare to the average or baseline denial rates for the inpatient hospital and hospital emergency room settings in 2008 and 2009. The five specialties with the greatest positive and negative deviations from the baseline denial rate in a given POS were chosen.

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