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Earlier I mentioned on the Editor's Blog that TrailBlazer had uncovered some denial rates on established E/M services that so staggeringly high that some consultants voiced concerns about the carrier being too strict. Seeing as how established E/Ms are staple services for primary care practices and plenty of specialties, I wrote a Part B News story about combating the errors TrailBlazer claimed to be seeing en masse across its sample of 200 randomly chosen claims across six states.

Can you imagine getting nine out of every 10 established E/M codes wrong -- some d/owncoded, others denied outright? That's the claim -- no pun intended -- being made by TrailBlazer (the Medicare carrier) in its most recent medical review findings. TrailBlazer uncovered average error rates of between 50% and 90% across a total of 200 claims, randomly chosen from multiple practices in all of its covered states.

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