Benchmark of the Week: Denial rate by place of service, 2005 vs. 2006

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article summarizes a Part B News benchmark analysis of denial rates across six common places of service, using CMS claims data from 2005 and 2006. It is useful for billing, coding, and practice management professionals who monitor denial patterns and compare performance by setting. The discussion focuses on broad trends in denial rates and how they differ by location of service.

Why This Topic Matters

Place-of-service denial patterns can affect revenue cycle performance and help organizations compare outcomes across care settings. This benchmark provides a high-level snapshot for readers tracking operational and claims trends.

What You Will Learn

  • How denial rates are compared across common service locations.
  • What broad trends were observed in CMS claims data for 2005 and 2006.
  • Why place of service can be an important benchmark for denial analysis.
  • Which care settings were highlighted in the comparison.

Who Should Read This

  • Medical coders
  • Billing staff
  • Revenue cycle managers
  • Practice administrators
  • Compliance professionals

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