decisionhealth Newsletters, Part B News - 2011 Issue 5 (May)
Benchmark of the Week: Most costly codes by specialty, 2009
Subscribe or sign in to view the full article.
Article Overview
This article reviews a CMS claims-data chart showing which services generated the greatest financial losses in several high-utilization specialties in 2009. It is aimed at coding, billing, and revenue-cycle readers who want to understand how denial rates, service value, and utilization can combine to affect overall losses across specialties.
Why This Topic Matters
The article helps readers look beyond denial percentages and consider the broader financial effect of frequently billed or higher-value services. That perspective can support better benchmarking, specialty comparisons, and prioritization of denial-management efforts.
What You Will Learn
- How a claims-data chart can be used to compare financial impact across specialties
- Why denial rate alone may not reflect total revenue loss
- How utilization and service value influence the relative importance of denied claims
- Which broad specialty groups are highlighted in the 2009 analysis
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Revenue cycle professionals
- Practice administrators
- Specialty practices
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com