decisionhealth Newsletters, Part B News - 2012 Issue 1 (January)
Benchmark of the Week: Possible payment boost lost in denials, 2009-2010
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Article Overview
This article summarizes a benchmark chart that compares denial-related payment impact for a set of heavily billed Medicare codes in 2009 and 2010. It is intended for coders, billing staff, and revenue cycle professionals who want a high-level view of denial patterns and how they relate to payment variation over time. The article focuses on chart-based comparison, percentage-based analysis, and general takeaways about denial impact on reimbursement.
Why This Topic Matters
Understanding how denials affect payment patterns can help healthcare organizations monitor revenue cycle performance and identify areas where denial reduction efforts may be relevant.
What You Will Learn
- How the chart compares denial impact across two years
- How payment impact is expressed as a percentage of Medicare payment
- Which broadly billed codes are highlighted in the benchmark discussion
- How the article frames denial impact as a revenue cycle metric
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle staff
- Practice managers
- Compliance teams
Codes Discussed
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