decisionhealth Newsletters, Part B News - 2012 Issue 11 (November)
Benchmark of the Week: E/M code selection, primary care vs. specialists
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Article Overview
This article reviews evaluation and management coding patterns for new and established office visits, comparing primary care physicians with a broad specialist group across 2010 and 2011. It is useful for coders, practice managers, and compliance teams who want a high-level view of how E/M utilization trends are being discussed in physician specialties and Medicare-related reporting. The article presents chart-based observations and commentary on shifts in code-level distribution without serving as a coding guide.
Why This Topic Matters
Understanding broader E/M utilization trends can help organizations monitor documentation and coding patterns across physician groups and compare their billing behavior over time.
Article Sections
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Summary
An overview of the chart-based analysis and the physician groups being compared. It frames the time period and general focus of the benchmark discussion.
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Breakdown
A narrative review of observed changes in E/M utilization patterns for the groups shown in the benchmark charts. The section discusses overall shifts in relative code-level frequency across the comparison groups.
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Takeaways
A brief concluding discussion of the broader trend context reflected by the benchmark data. It summarizes the article’s high-level interpretation of the chart findings.
What You Will Learn
- How the article frames E/M utilization benchmarking across primary care and specialists
- What broad time period and visit categories the charts compare
- What types of trend observations are highlighted in the discussion
- How the article positions the benchmark in relation to longer-term E/M utilization patterns
Who Should Read This
- Medical coders
- Coding auditors
- Compliance professionals
- Practice administrators
- Revenue cycle staff
- Physician group managers
Codes Discussed
Code Ranges Discussed
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