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Association and Trends in Medicare Denials and Utilization for Brain CT: Indirect Impacts by Targeted Policy Intervention? | LitMetric

AI Article Synopsis

  • A study analyzed 25 years of Medicare data to track changes in the use and denial rates of brain CT scans.
  • From 1999 to 2005, there was an increase in CT scan utilization and a decrease in denial rates, followed by more stable growth and less variability in denial rates afterward.
  • Recent changes in denial rates may be influenced by policy measures targeting cost and volume control.

Article Abstract

Twenty-five years of annual Medicare Physician/Supplier Procedure Summary (PSPS) Master File data were used to assess trends in normalized volume and claim denial rates for brain computerized tomography. Alongside growth in utilization of brain computerized tomography (services, denial rates, fell from 1999-2005 and with relatively leveled growth and less denial rate volatility thereafter. More recent trends in denial rates may be related to policy interventions initially aimed at cost and volume reduction.

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Source
http://dx.doi.org/10.1067/j.cpradiol.2022.07.009DOI Listing

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