Benchmark of the Week: New vs. established denial rates by specialty

Subscribe or sign in to view the full article.

Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews a chart of denial rates for new and established office visits across specialties using CMS claims data from 2009. It is aimed at coding, compliance, and revenue-cycle readers who want a high-level view of specialty-based denial patterns and the broader context behind utilization and audit focus.

Why This Topic Matters

Understanding denial trends by specialty can help practices compare performance, identify areas for internal review, and place office-visit denial patterns in context without relying on a single specialty’s experience.

Article Sections

  1. Summary

    Introduces a chart comparing denial rates for new and established office visit levels across specialties using CMS claims data. It notes the scope of the specialties included and describes how the chart presents the data.

  2. Breakdown

    Discusses broad denial-rate patterns across specialties for new and established office visits, including relative utilization and overall specialty comparisons. It highlights general differences in denial trends and the context of volume by visit type.

  3. Takeaways

    Summarizes broader trend observations from the chart and notes which visit categories may warrant closer internal review. It also references supplemental access to a larger specialty table.

What You Will Learn

  • How denial-rate patterns differ between new and established office visits
  • How specialty-level utilization relates to denial trends
  • Which broad visit categories are commonly emphasized for internal review
  • How CMS claims data can be used to compare specialty performance

Who Should Read This

  • Medical coders
  • Coding auditors
  • Compliance staff
  • Revenue cycle professionals
  • Practice managers
  • Physician office staff

Subscribe or sign in to view the full article.

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth Coding, Billing and Compliance Library

Related Articles

Articles are listed in order of calculated relevance.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?