decisionhealth Newsletters, Part B News - 2011 Issue 5 (May)
Benchmark of the Week: Specialists and E/M levels, 2009
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Article Overview
This article presents a 2009 benchmark comparison of specialist evaluation and management (E/M) claim patterns across high-utilization specialties. It summarizes utilization share and denial-rate trends by code level, explains which specialties were included in the analysis, and notes that the article includes downloadable tabular data for additional specialty-level review. It is intended for coders, billing staff, auditors, and revenue cycle professionals who follow E/M utilization benchmarks.
Why This Topic Matters
Understanding specialty-level E/M utilization and denial patterns helps readers compare their own billing mix against broader benchmarks and identify areas that may warrant review.
Article Sections
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Chart overview
Introduces the benchmark chart and the specialty-focused scope of the analysis. Summarizes the general comparison being made across E/M utilization and denial patterns.
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Summary
Describes the specialties included in the graph and the overall structure of the utilization comparison. Notes the E/M visit levels examined in the analysis.
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Breakdown
Provides a broader look at utilization patterns across specialties and compares denial trends by E/M level. Highlights the general distribution pattern observed in the benchmark data.
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Takeaways
Presents the article’s closing observations about denial patterns across specialties and levels. Mentions the availability of a downloadable table with additional benchmark data.
What You Will Learn
- How specialist E/M utilization was compared across high-volume specialties
- What the article highlights about denial-rate patterns by E/M level
- Which specialty groups were included in the benchmark analysis
- Where to find the downloadable table referenced by the article
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle professionals
- Compliance auditors
- Practice managers
Codes Discussed
Code Ranges Discussed
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