decisionhealth Newsletters, Part B News - 2013 Issue 2 (February)
Benchmark: Claims denials with ALF, SNF place-of-service codes, 2010-2011
Subscribe or sign in to view the full article.
Article Overview
This article reviews denial patterns in Medicare Part B claims associated with skilled nursing facilities and assisted living facilities during 2010-2011. It is aimed at providers, billers, and coding staff who need to understand broad denial trends, the types of services examined, and the role of place-of-service reporting in those settings. The piece also notes general exclusions and highlights service categories that showed notable denial activity.
Why This Topic Matters
Understanding denial trends in SNF and ALF claims can help billing and coding teams evaluate whether their reporting patterns align with broader benchmark data and identify areas that may warrant closer internal review.
What You Will Learn
- What the article examines in SNF and ALF claim denial benchmarking
- Which broad service categories are associated with higher denial activity
- How place-of-service reporting factors into the analysis
- What general limitations and exclusions are mentioned in the benchmark data
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Compliance teams
- Healthcare providers
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com