DecisionHealth, DecisionHealth - 2012 Issue 6 (June)

NPP Benchmark: Upper level E/M denial rates, 2010

This chart shows the denial rates for five nurse physician practitioner (NPP) specialties for E/M office visits, based on 2010 Medicare claims data. For each specialty, the denial rates of level 3, level 4 and level 5 E/M office visits is depicted, based on a combination of E/M codes billed for initial patient visits and subsequent patient visits (99203-99205 and 99213-99215).

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