DecisionHealth, DecisionHealth - 2012 Issue 4 (April)

Benchmark of the Week: Top denied codes per specialty, 2009-2010

This chart shows the 2010 denial rates of three frequently billed codes for seven Medicare-heavy specialties and compares those rates with the 2009 percentages. All numbers are based on a Part B News analysis of 2010 and 2009 Medicare claims data. NoteThe 2010 codes selected had at least a 10% denial rate and a total service count per specialty of at least 10,000. Medicare paid at least $5 million per specialty in 2010 for each of these codes. 

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