decisionhealth Newsletters, Part B News - 2015 Issue 3 (March)
Payment per claim shows ups, downs for commonly billed injection codes
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Article Overview
This brief benchmark article summarizes Medicare data on claim payment trends and denial rates for a small set of commonly billed injection procedures. It is intended for coding and billing professionals who want a quick view of utilization and reimbursement changes, along with the general context for why these services may be watched closely.
Why This Topic Matters
Understanding payment and denial trends for high-volume injection services can help coding and billing teams monitor revenue variability and identify areas for closer review.
What You Will Learn
- How Medicare payment per claim changed for several commonly billed injection services over a two-year period.
- Which services in the benchmark had higher denial rates and higher utilization.
- Why high-volume injection services are often monitored in coding and billing analytics.
- The general focus of a weekly benchmark on reimbursement patterns for procedure codes.
Who Should Read This
- Medical coders
- Billers
- Revenue cycle staff
- Practice managers
- Compliance staff
Codes Discussed
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