DecisionHealth, DecisionHealth - 2011 Issue 10 (October)

Benchmark of the Week: High-growth, high-denial lab codes, 2009-2010

This chart looks at 10 lab codes that saw significant utilization growth from 2009 to 2010, and also had a high denial rate (classified as 10% or above). NOTE: Codes with low utilization or total reimbursement were excluded from analysis. Medicare claims data for clinical labs was eliminated, so this data reflects lab codes billed primarily by physicians and non-physician providers (NPPs).

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