decisionhealth Newsletters, Part B News - 2014 Issue 5 (May)
Denial rates for less frequently used allergy tests soar from 2011 to 2012
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Article Overview
This short data-focused article examines denial-rate changes for a small group of allergy testing services reported in Medicare Part B claims. It is useful for billing and coding professionals, allergy practices, and revenue cycle staff who want a high-level view of utilization and denial trends for these services over time.
Why This Topic Matters
Understanding denial patterns for commonly and infrequently billed allergy tests can help readers assess which services experienced notable claims adjudication changes between 2011 and 2012.
What You Will Learn
- How Medicare denial rates changed for selected allergy testing services between 2011 and 2012.
- Which broadly used allergy testing services are discussed in the context of claim volume and denials.
- Why denial trends in Part B claims data may be relevant to coding and billing review.
- How to interpret the article as a utilization-and-denial snapshot rather than a coding policy guide.
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle staff
- Allergy and immunology practices
- Practice managers
Codes Discussed
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