decisionhealth Newsletters, Part B News - 2017 Issue 1 (January)
High denial rates mark face-to-face prolonged services in office, hospital
Subscribe or sign in to view the full article.
Article Overview
This article reviews Medicare claims data for prolonged service billing and discusses denial-rate patterns across specialties for face-to-face prolonged service reporting. It also notes the introduction of non-face-to-face prolonged service coding and why the topic matters for practices tracking reimbursement and claim acceptance. The piece is aimed at coders, billing staff, and revenue cycle professionals who work with prolonged service reporting in office and hospital settings.
Why This Topic Matters
Understanding denial trends and reporting patterns for prolonged services can help practices assess whether their claims workflow is likely to face payer resistance and where education or documentation review may be needed.
Article Sections
-
Claims data and denial-rate trends
Summarizes Medicare claims analysis for prolonged service reporting and compares denial-rate patterns across specialties and service categories.
-
Non-face-to-face prolonged service codes
Introduces the newer non-face-to-face prolonged service reporting in the context of practice billing and reimbursement concerns.
What You Will Learn
- How Medicare claims data can be used to evaluate prolonged service billing patterns
- What general denial-rate trends were observed across specialties
- Why newer prolonged service reporting options are relevant to practices
- How the article frames prolonged service billing challenges in office and hospital settings
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Practice managers
- Compliance staff
Codes Discussed
Code Ranges Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com