decisionhealth Newsletters, Part B News - 2009 Issue 8 (August)
NPP Report: Denial rates by NPP specialty, 2005-2007
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Article Overview
This article summarizes a chart-based analysis of Medicare denial rates for major non-physician practitioner specialties over a three-year period. It is relevant to coding, billing, and reimbursement professionals who monitor claim denial trends by specialty and want a high-level view of CMS claims-based benchmarking.
Why This Topic Matters
Denial trend data can help revenue cycle and coding teams understand how claim outcomes differ across non-physician practitioner specialties and over time. The article provides context for comparing denial activity using Medicare claims data without focusing on a single code set or procedure type.
What You Will Learn
- How Medicare denial rates were benchmarked across major non-physician practitioner specialties
- What the report says about denial trends from 2005 through 2007
- Which specialties are highlighted as having the highest volume of denied claims
- How CMS claims data was used as the source for the analysis
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Practice managers
- Compliance staff
- Healthcare analysts
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