Home | 12/12/2019 Issue | Article

Multiple specialties zapped by 99201 denials as claims, revenue plummet

Effective Dec 12, 2019
Published Dec 16, 2019
Last Reviewed Dec 12, 2019

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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