decisionhealth Newsletters, Part B News - 2011 Issue 1 (January)
Benchmark of the Week: Top 10 most damaging denials, 2009
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Article Overview
This article reviews a 2009 benchmark of Medicare services with the greatest financial impact when denied. It is aimed at coding, billing, and revenue cycle professionals who want to understand which high-volume services were most affected, how the benchmark was framed, and why denial impact should be viewed alongside denial frequency. The article also highlights the specialties represented and points readers to a larger related table for broader comparison.
Why This Topic Matters
It helps practices identify which frequently billed services can create the largest revenue losses when denials occur, supporting prioritization of denial-management and coding improvement efforts.
What You Will Learn
- How a denial-impact benchmark was framed for Medicare services in 2009.
- Why denial frequency and financial impact are both important when evaluating services.
- Which broad specialties were represented among the highest-impact denied services.
- How benchmark tables can be used to prioritize coding and billing improvement efforts.
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle managers
- Practice administrators
- Compliance teams
Codes Discussed
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