Benchmark of the Week: Specialists and E/M levels, 2009

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

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

  1. 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.

  2. 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.

  3. 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.

  4. 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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