DecisionHealth, DecisionHealth - 2013 Issue 10 (October)

3 strategies to stop high denials on inpatient E/M codes

Denial rates are up across the board when you bill E/M visits for hospital inpatients, including initial patient visits (99221-99223) and subsequent visits (99231-99233), according to a Part B News analysis. While overall utilization for each code dipped slightly, they all saw a boost in denial rates. The high utilization of inpatient E/M services means that even minor denial rate boosts add up to millions of lost payment dollars for physician practices.
 

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