decisionhealth Newsletters, Part B News - 2011 Issue 12 (December)
Benchmark of the Week: Most damaging NPP denials, 2009 vs. 2010
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Article Overview
This article reviews a benchmark-style analysis of denied claims billed by non-physician practitioners and compares 2009 with 2010 trends. It is relevant for billing, coding, and revenue cycle professionals who want to understand which service categories contributed most to lost reimbursement and how denial rates changed over time. The discussion covers broad service types, utilization changes, and the role of non-physician practitioner billing in the reported data.
Why This Topic Matters
It helps revenue cycle and coding teams identify where relatively low denial rates can still create substantial financial impact, and it highlights year-over-year shifts in denial patterns for selected services billed by non-physician practitioners.
What You Will Learn
- How the benchmark analysis compares denial impact across two years
- Which broad service categories contributed to lost reimbursement among non-physician practitioner claims
- How denial-rate trends and utilization changes are discussed in the context of the analysis
- How the article frames the relationship between non-physician practitioner billing and revenue loss
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle managers
- Practice administrators
- Compliance staff
- Clinical documentation improvement teams
Codes Discussed
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