decisionhealth Newsletters, Part B News - 2016 Issue 8 (August)
2015 Medicare round-up: Top codes, denials mainly flat; $1.58 raise per claim
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Article Overview
This article reviews Medicare Part B claims data for 2015 and compares it with 2014 to show broad trends in utilization, denial rates, submitted charges, denied amounts, and net payments. It is aimed at readers who follow Medicare billing patterns and reimbursement movement at a high level, with specific attention to the most-utilized HCPCS/CPT services and overall claim-volume changes.
Why This Topic Matters
The piece helps providers, billers, and coding professionals understand how Medicare claim activity shifted year over year, including whether denial patterns stayed stable and how larger claim volumes affected total dollars retained. It is useful for benchmarking performance and spotting broad reimbursement trends without needing a code-by-code deep dive.
What You Will Learn
- How Medicare claim volume changed from 2014 to 2015
- How overall submitted charges and denied amounts trended year over year
- How denial rates behaved across commonly billed services
- How aggregate payment and per-claim averages shifted in the Medicare Part B program
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Practice administrators
- Healthcare analysts
Codes Discussed
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