DecisionHealth, DecisionHealth - 2011 Issue 9 (September)

Benchmark of the Week: Top 10 high-growth, high-denial codes, 2009-2010

A wide variety of procedures top the list of high-denial codes that also saw a big jump in utilization from 2009 to 2010, the latest year for which CMS claims data is available. NOTE: Lab codes and supply codes were excluded from analysis, as were codes with low utilization, low denial rates and/or low utilization growth over the one-year period. NOTE: A slew of E/M codes, such as 99201-99205 and 99304-99306, saw the biggest growth in billing and had fairly high denial rates, but their utilization increases were a direct result of 2010 being the first year CMS stopped using consult codes. These other E/M codes were used as a replacement, boosting their utilization artificially (see related story).

To read the full article, sign in and subscribe to the DecisionHealth Newsletters.

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth Coding, Billing and Compliance Library

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.