Benchmark: Percent change in E/M utilization, 2011-2012

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews recent utilization changes in evaluation and management billing patterns, using CMS data to compare 2011 and 2012 trends. It is aimed at coding, billing, and compliance professionals who monitor office visit volume patterns, payer data, and documentation-related utilization shifts.

Why This Topic Matters

Understanding utilization trends in evaluation and management services can help organizations track coding behavior, identify unusual shifts in claim patterns, and stay informed about broad changes affecting patient visit coding.

What You Will Learn

  • How E/M utilization changed between 2011 and 2012
  • Which broad patient-visit categories were discussed
  • What kinds of external factors were suggested as possible contributors to utilization changes
  • How CMS data can be used as a benchmark for coding trend analysis

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Compliance teams
  • Practice managers
  • Revenue cycle professionals

Codes Discussed

Code Ranges Discussed


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