decisionhealth Newsletters, Part B News - 2010 Issue 11 (November)
Benchmark of the Week: Deviation in inpatient denials, 2008-2009
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Article Overview
This article reviews benchmarking data on inpatient denial rates and compares specialty-specific performance across two place-of-service settings over two years. It is aimed at readers tracking denial trends, utilization patterns, and revenue-cycle benchmarking for inpatient hospital and emergency department settings.
Why This Topic Matters
It helps revenue-cycle and coding professionals understand how denial patterns vary by setting and specialty, supporting broader benchmarking and performance-monitoring work.
What You Will Learn
- How inpatient denial rates are compared across two place-of-service settings.
- How specialty-level denial patterns are presented over a two-year period.
- How benchmarking visuals are used to show variation around a baseline.
- What general trends are highlighted for surgical and non-surgical specialties.
Who Should Read This
- Medical coders
- Revenue cycle analysts
- Billing professionals
- Healthcare administrators
- Practice managers
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