decisionhealth Newsletters, Part B News - 2010 Issue 1 (January)
Benchmark of the Week: E/M denial rates by specialty, 2007 vs. 2008
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Article Overview
This article reviews Medicare evaluation and management denial-rate patterns by specialty using claims data from 2007 and 2008. It is relevant to coding professionals, billing teams, and practice managers who want to understand denial trends, specialty comparisons, and the general operational factors discussed in the context of E/M claim adjudication.
Why This Topic Matters
Denial trends can affect revenue cycle performance, especially for high-volume E/M services. The article helps readers gauge how specialty mix and claims volume relate to denial patterns and why broad Medicare benchmark data may matter for practice management.
Article Sections
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Summary
A short overview of the article’s main benchmark finding and the time period analyzed.
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Breakdown
A discussion of the claims-data review, specialty comparisons, and the general context for the denial-rate analysis.
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Tips and takeaways
A brief practical discussion of broader operational considerations tied to E/M claim denials and Medicare claims data.
What You Will Learn
- How Medicare E/M denial rates were compared across specialties
- What broad specialty-level patterns were observed in the benchmark data
- Why claims volume can affect the operational significance of denial-rate changes
- What general billing context was discussed alongside the benchmark results
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle staff
- Practice managers
- Physician office administrators
Codes Discussed
Code Ranges Discussed
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