decisionhealth Newsletters, Part B News - 2010 Issue 11 (November)
Benchmark of the Week: Dollar cost of denials per provider, 2008-2009
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Article Overview
This article examines specialty-level denial trends using Medicare claims data, focusing on the average dollar losses per provider and how they changed from 2008 to 2009. It is aimed at coding, billing, and practice management readers who want to understand denial impact by specialty, with context on high-utilization services, specialty mix, and denial-related operational issues.
Why This Topic Matters
It helps practices and revenue cycle teams understand where denial-related losses were rising most sharply and why some specialties were more affected than others. The benchmark context can support denial management priorities, documentation review, and performance comparison across specialties.
Article Sections
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Benchmark summary
Overview of the denial benchmark, including the specialties compared and the year-over-year focus on per-provider dollar losses.
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Breakdown
Discussion of specialty patterns in denial losses, with emphasis on changes in utilization, denial volume, and related operational factors.
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Takeaways
High-level interpretation of the benchmark results and notes on how the data is presented across specialties.
What You Will Learn
- How denial-related dollar losses were benchmarked across specialties
- How year-over-year changes in denial impact were summarized
- What broad specialty patterns were highlighted in the analysis
- How Medicare utilization context shaped the selection of specialties in the benchmark
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle managers
- Practice administrators
- Physician office managers
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