decisionhealth Newsletters, Part B News - 2014 Issue 2 (February)
Benchmark: Claims for observation, hospital care see more denials in 2012
Subscribe or sign in to view the full article.
Article Overview
This benchmark article examines changes in claim denial rates for observation and hospital care services from 2011 to 2012. It is aimed at coders, billers, compliance staff, and clinicians who document evaluation and management services, and it focuses on high-level denial trends, documentation concerns, and service categories that saw changes over time.
Why This Topic Matters
Denials for observation and hospital care services can affect revenue and signal documentation or claims-processing issues. Understanding the trends helps practices review documentation quality and monitor areas where denials may have increased.
Article Sections
-
Benchmark
A benchmark-style summary of denial trends for observation and hospital care services, including year-over-year comparisons and related documentation concerns.
-
Denial rates for observation and hospital care, 2011–2012
A chart or data presentation comparing denial rates across observation and hospital care categories for the two-year period.
What You Will Learn
- How denial rates changed for observation and hospital care services over the reported period.
- Which broad service categories are discussed in the benchmark.
- Why documentation quality is relevant to denials in this setting.
- What kinds of claim-level trends the article highlights for review.
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physician practices
- Hospital documentation teams
Codes Discussed
Code Ranges Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com