decisionhealth Newsletters, Part B News - 2010 Issue 3 (March)
Survey: Transition from consults to E/Ms results in few denials
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Article Overview
This article summarizes an unofficial Part B News reader survey about the transition from consults to E/M services. It focuses on reported denial rates, common billing problems involving private payers and Medicare, and the practice types represented in the responses. The piece is relevant to physicians, coders, billers, and practice managers monitoring reimbursement effects and payer processing issues during the consult-to-E/M transition.
Why This Topic Matters
The survey offers a snapshot of how practices experienced payer denials and billing complications during a major coding and reimbursement change, helping readers gauge operational impact and identify where reimbursement problems were most likely to arise.
What You Will Learn
- How practices reported denial frequency after consult elimination
- What types of payer billing issues were commonly encountered
- Which practice types were represented in the survey responses
- How the survey framed the financial impact of the consult-to-E/M transition
Who Should Read This
- Physicians
- Medical coders
- Medical billers
- Practice managers
- Revenue cycle staff
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