10 Top Ambulatory Care Procedures & Unexpected Denial Rates

Here are the top 10 procedures performed at ambulatory care facilities by total billed amounts from Nov. 15, 2012 to Feb. 11, 2013, and the denial rates for each procedure based on data collected by RemitDATA, an independent source of comparative analytics for reimbursement, utilization and productivity data. The database houses 25 percent of all national outpatient remits.

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1. Proton treatment simple with comp.: 10 percent
2. Proton treatment intermediate: 10 percent
3. Cataract Surgery With IOL 1 Stage: 7 percent
4. Upper GI/Endoscopy Biopsy: 8 percent
5. Provide INR Test Mater/Equipment: 10 percent
6. Stereoscopic X-Ray Guidance: 6 percent
7. Office/Outpatient Visit, Est. (CPT 99214): 9 percent
8. Office/Outpatient Visit, Est. (CT 99213): 7 percent
9. Radiation Tx Delivery Intensity Modulated Radiation Therapy: 14 Percent
10. Colonoscopy and Biopsy: 9 percent

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At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

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Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

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