decisionhealth Newsletters, Part B News - 2012 Issue 3 (March)
Benchmark of the Week: Allowed Medicare charge per office visit, 2010
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Article Overview
This article reviews a Part B News analysis of 2010 Medicare claims that compares specialty-level allowed Medicare charges per office visit. It is aimed at readers who want to understand how office-visit revenue varies across specialties and how the chart’s benchmark figures were derived from Medicare claims data.
Why This Topic Matters
Office visits are a major source of Medicare revenue, and the article helps readers gauge how their specialty’s office-visit performance compares with national specialty benchmarks. It is relevant for practices evaluating utilization patterns, revenue comparisons, and the effect of denials on allowed amounts.
What You Will Learn
- How a specialty-level office-visit Medicare benchmark chart was assembled
- What broad comparisons the chart makes across high- and low-billing specialties
- How claims data and denied amounts factor into the benchmark figures
- How to interpret specialty-level office-visit charge patterns for comparison purposes
Who Should Read This
- Medical coders
- Billing staff
- Practice administrators
- Revenue cycle professionals
- Physician practice managers
- Healthcare analysts
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