decisionhealth Newsletters, Part B News - 2008 Issue 11 (November)
Benchmark of the Week: E/M denial rates by specialty, 2006 vs. 2007
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Article Overview
This article reviews a Part B News analysis of CMS claims data focused on evaluation and management denial rates by specialty. It highlights year-over-year denial trends among high-volume specialties and provides context for why the comparison matters to billing, coding, and reimbursement professionals monitoring specialty-level claim patterns.
Why This Topic Matters
Specialty-level denial trends can help billing and coding teams understand broader claim-processing patterns and compare performance across years. The article is relevant to readers tracking CMS claims data, E/M billing activity, and specialty reimbursement trends.
What You Will Learn
- How specialty-level denial rates for evaluation and management services were compared across two years
- Which specialty groups were included in the analysis and the volume threshold used
- What general year-over-year patterns were observed in the denial data
- How CMS claims data and Part B News analysis were used in the discussion
Who Should Read This
- Medical coders
- Billing professionals
- Revenue cycle staff
- Practice managers
- Compliance staff
- Healthcare analysts
Codes Discussed
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