decisionhealth Newsletters, Part B News - 2009 Issue 10 (October)
Benchmark of the Week: Denial rates for RAC targets, 2007
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Article Overview
This article summarizes a 2007 chart of denial rates for several services that were being targeted by Recovery Audit Contractors. It is useful for readers tracking audit risk patterns, historical CMS billing trends, and changes in identifiers over time. The piece is aimed at coding and reimbursement professionals who want a quick benchmark and context for why certain services drew attention.
Why This Topic Matters
It helps readers understand how denial rates varied across commonly billed services and how historical data can inform audit awareness and coding trend analysis.
What You Will Learn
- How the article uses 2007 billing data to illustrate denial-rate trends
- Which broad service categories were among the highlighted RAC targets
- How historical code changes are referenced in the discussion
- What the chart suggests about denial-rate distribution across billed claims
- What source the analysis draws from
Who Should Read This
- Medical coders
- Billing professionals
- Revenue cycle staff
- Compliance professionals
- Healthcare auditors
Codes Discussed
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