DecisionHealth, DecisionHealth - 2011 Issue 10 (October)

Benchmark of the Week: E/M denials by specialty, 2009-2010

These charts look at denial rates for both outpatient and inpatient E/M services in 2009 and 2010, for 10 specialties that have very high annual Medicare E/M utilization. Denial rates are higher for the high-level codes compared to the mid-level codes. Orthopedic surgery and urology have the highest denial rates regardless of code level, while hematology/oncology, pulmonary disease and dermatology are among the lowest.

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