decisionhealth Newsletters, Part B News - 2011 Issue 3 (March)
Benchmark of the Week: Top high-use, high-denial lab codes, 2008-2009
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Article Overview
This article reviews Medicare-paid laboratory service trends for 2008 to 2009, focusing on high-use, high-denial services and how utilization and denial rates changed over time. It is relevant to coders, billing staff, compliance teams, and laboratory-focused practices that monitor claim performance, specialty patterns, and reporting benchmarks.
Why This Topic Matters
Understanding where denial rates remain elevated and how usage shifted helps organizations benchmark laboratory billing performance and compare patterns across specialties.
Article Sections
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Summary
Overview of the charts and the time period analyzed, including the general scope of the Medicare laboratory services data.
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Breakdown
Discussion of utilization and denial trends across selected high-volume laboratory services, including specialty-level patterns and comparative performance.
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Takeaways
High-level interpretation of the overall billing trends and the availability of downloadable tables for further review.
What You Will Learn
- How the article frames Medicare laboratory utilization and denial trends over a two-year period.
- What kinds of laboratory services are emphasized in the benchmark discussion.
- Which general specialty patterns are highlighted in relation to lab claim performance.
- What supporting tables or downloadable materials accompany the benchmark summary.
Who Should Read This
- Medical coders
- Billing and reimbursement professionals
- Compliance staff
- Laboratory billing teams
- Physician practice managers
- Pathology and laboratory practices
Codes Discussed
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