DecisionHealth, DecisionHealth - 2011 Issue 12 (December)
Benchmark of the Week: Top 10 most damaging denials, 2009 vs. 2010
These charts compare 10 codes with relatively low denial rates, yet were responsible for major dollar losses in 2010, to their denial rates and per-denial loss amount to 2009. NOTE: Codes with fewer than $1 million in annual Medicare payments were excluded from analysis, as were non-physician services (e.g. lab codes, supply codes). NOTE: The dollar losses per denial were calculated by dividing the annual paid amount by the total services less the number of denied services. They reflect national average data and do not account for patient-responsible amounts; only the allowable amounts actually paid by Medicare. The fees listed along the bottom for each code are based on the current 2011 fee schedule.
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