DecisionHealth, DecisionHealth - 2012 Issue 12 (December)

Benchmark of the Week: Established patient upper-level E/M denial rates by specialty

These charts show established patient upper-level E/M denial rates from 2010 and 2011, organized by the 12 specialties that bill initial patient E/M office visits most frequently. Based on a Part B News analysis of the latest Medicare claims data available, 99214 denial rates from 2010 and 2011 for each specialty are displayed in the top chart and 99215 denial rates for those years are in the bottom chart. For a look at the same data but for initial patient E/M visits, go to PBN 12/17/12.

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