decisionhealth Newsletters, Part B News - 2009 Issue 11 (November)
Benchmark of the Week: Dollar impact of consult elimination
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Article Overview
This article reviews a payment-impact benchmark tied to the elimination of consultation billing and the shift toward replacement evaluation and management visit categories. It is aimed at coding, reimbursement, and practice management readers who want a high-level view of how the change affects revenue across settings and specialties, using Medicare and CMS-based analysis.
Why This Topic Matters
It helps practices understand the broader reimbursement implications of consult elimination and why specialty mix, site of service, and evaluation and management volume can affect revenue performance.
What You Will Learn
- How the article frames the financial effect of consultation billing changes
- What general categories of evaluation and management services are part of the replacement landscape
- Why the impact can vary by specialty, practice setting, and consult volume
- How the article situates the analysis in Medicare and CMS-based data
Who Should Read This
- Medical coders
- Coding managers
- Revenue cycle professionals
- Practice administrators
- Physician practices
- Specialty groups
Codes Discussed
Code Ranges Discussed
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