DecisionHealth, DecisionHealth - 2012 Issue 1 (January)

Benchmark of the Week: Possible payment boost lost in denials, 2009-2010

This chart presents 10 heavily-billed codes along with the potential Medicare payment increase these codes would have seen nationally were it not for denials. The data labels represent 2010 potential increases, but are graphed alongside the 2009 figures as a comparison. These percentages were derived by dividing the total denial amount for each code by the total Medicare payment for that code. The resulting percentage represents how much the overall Medicare payment for the codes would have increased if zero denials were issued.

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