DecisionHealth, DecisionHealth - 2016 Issue 7 (July)

New patient level 1 denials stay high — less so for NPs and PAs

Generally, new patient E/M claims are a problem for providers. But, according to the most recent available data, 99201-99205 denials have been relatively calm overall between 2011 and 2014 — except for 99201, historically a tough sell and apparently not getting any easier. One major exception: Some non-physician practitioners (NPPs).

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