decisionhealth Newsletters, Part B News - 2010 Issue 9 (September)
Benchmark of the Week: E/M denial rate differences by specialty, 2008
Subscribe or sign in to view the full article.
Article Overview
This article reviews specialty-level Medicare denial patterns for evaluation and management services using 2008 CMS claims data. It is aimed at coding and billing professionals who want to compare how denial rates vary across different specialties and service levels, with emphasis on broad E/M utilization trends and specialty benchmarking.
Why This Topic Matters
Understanding specialty-level denial patterns can help practices evaluate how their E/M billing performance compares with peers and identify whether higher-level service denials are part of a broader claims-denial trend.
Article Sections
-
Summary
Introduces the benchmark analysis and explains that it compares denial-rate differences across specialties using Medicare claims data.
-
Breakdown
Describes how the selected specialties compare in their denial-rate differences and presents the broad pattern seen in the data.
-
Takeaways
Summarizes the overall relationship observed in the benchmark data and frames it as a practice-level performance comparison.
What You Will Learn
- How specialty-level denial benchmarks are presented for evaluation and management services
- What general trends were observed across selected medical specialties
- How the article frames denial-rate comparisons using Medicare claims data
- Why broader denial patterns may matter when evaluating E/M billing performance
Who Should Read This
- Medical coders
- Coding auditors
- Billing managers
- Revenue cycle professionals
- Practice administrators
- Physician group managers
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com