DecisionHealth, DecisionHealth - 2009 Issue 11 (November)

3 ways to zap spine X-ray denials

You and your peers have had been losing money for the last four years thanks to denials for spine X-rays, a Part B News analysis shows. Denial rates for five relatively common spine X-ray codes range from 12% to 40% and have stayed flat at those high levels from 2005 to 2008, the analysis shows. Most importantly: more than 80% of the denials were billed in the office setting, according to a breakdown of the examined CMS claims data.

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