decisionhealth Newsletters, Part B News - 2014 Issue 2 (February)
Denial rates on most-claimed physical therapy codes went up 1% to 2% in 2012
Subscribe or sign in to view the full article.
Article Overview
This article examines changes in Medicare denial rates for commonly billed independent physical therapy services, with a focus on utilization trends and the broader compliance environment. It is intended for physical therapy providers, billers, coders, and compliance staff who need to understand why denials may be increasing and what external oversight topics are drawing attention in the specialty. The discussion references CMS data, Medicare Part B billing, and Office of Inspector General activity affecting outpatient therapy services.
Why This Topic Matters
Understanding denial trends for high-volume physical therapy services helps providers monitor revenue risk, compare billing patterns over time, and stay alert to compliance concerns in a heavily scrutinized area of Medicare billing.
Article Sections
-
Benchmark of the week
Introduces the article’s denial-rate benchmark and frames the trend in relation to Medicare billing for independent physical therapy providers.
-
Top PT utilization codes and denial rates 2011-2012
Presents the comparison of utilization and denial-rate changes for the most frequently billed physical therapy services over the two-year period.
What You Will Learn
- How Medicare denial-rate trends are being evaluated for high-volume physical therapy claims
- Which broader oversight and compliance themes are discussed in connection with independent physical therapy providers
- What types of utilization and denial-rate comparisons are highlighted for the specialty
- How CMS data is used to summarize billing patterns for physical therapy services
Who Should Read This
- Physical therapy providers
- Medical coders
- Medical billers
- Revenue cycle staff
- Compliance officers
- Practice managers
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com