DecisionHealth, DecisionHealth - 2019 Issue 12 (December)
Multiple specialties zapped by 99201 denials as claims, revenue plummet
Nurse practitioners, orthopedic surgeons, general surgeons and family practice providers have all faced significant hurdles with their 99201 claims, with denial rates ranging from 10% to 22% in 2018, the latest year of available Medicare claims data. But no specialty matched chiropractic’s dismal return — a 100% denial rate on nearly 93,000 services, with a loss of $5 million.
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