NPP Benchmark: E/M with modifier 25 denial rates by POS, 2010

Article Overview

This article reviews Medicare denial-rate benchmarking for evaluation and management office visit claims associated with modifier 25, organized by place of service and non-physician practitioner specialty. It is intended for coders, billing teams, and practice administrators who want a high-level view of utilization patterns, denial-rate comparisons, and how the data are grouped in the chart. The article focuses on 2010 Medicare data and discusses the broad setting-based comparisons represented in the benchmark.