With denials already high, practices contend with G0136 revamp

Why This Topic Matters

The article matters because it connects real-world claim performance with an upcoming CMS change that could affect denials, compliance review, and revenue planning for practices that report G0136.

Article Sections

1. Benchmark of the week

   A short framing section introducing the claims trend snapshot and the reason the topic is timely for practices watching Medicare reimbursement and denials.

2. Specialty utilization and payment trends

   An overview of which specialties accounted for the largest share of G0136 activity and how payment distribution compared across provider groups in 2024.

3. Denial rates for G0136 claims

   A summary of denial experience across specialties using 2024 Medicare claims data, with attention to the overall denial environment for this code.

4. Source and chart references

   A brief attribution section identifying the data source used for the analysis and the associated charts presented in the article.