decisionhealth Newsletters, Part B News - 2011 Issue 8 (August)
Benchmark of the Week: What impacts imaging denials, 2007 vs. 2009
Subscribe or sign in to view the full article.
Article Overview
This article examines denial and utilization patterns for selected imaging services and compares how those patterns changed between 2007 and 2009. It is relevant to coding, billing, and reimbursement professionals who want to understand broad trends in imaging claim denials and the context behind selected imaging codes used in the analysis. The discussion also references Medicare fee schedule charge comparisons, CMS claims data, and general bundling context for imaging services.
Why This Topic Matters
Imaging denials can affect reimbursement, workflow, and claim management. This benchmark helps readers understand the broader relationship between utilization, payment value, and denial patterns for a selected group of imaging services.
Article Sections
-
Summary
Overview of the benchmark’s purpose, the time period analyzed, and the general comparison framework used for imaging services.
-
Breakdown
Discussion of how denial and utilization patterns shifted across the selected imaging services over time, with emphasis on broad comparative trends.
-
Takeaways
High-level observations about how utilization and payment value relate to denial patterns in the selected imaging services.
What You Will Learn
- How imaging denial patterns were compared across two claim-data years.
- What broad factors were examined alongside denial rates for selected imaging services.
- How the article frames utilization, payment value, and denial trends in imaging claims.
- What general context is provided around imaging claim bundling and denial analysis.
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Imaging practice managers
- Compliance staff
- Payer policy analysts
Codes Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com