decisionhealth Newsletters, Part B News - 2010 Issue 2 (February)
Benchmark of the Week: High-level new patient E/M codes, 2006 vs. 2008
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Article Overview
This article summarizes a Part B News analysis of CMS claims data showing multi-specialty trends in higher-level new patient evaluation and management billing over a three-year period. It is relevant to coders, billing staff, and specialty practices tracking E/M utilization patterns, documentation trends, and the effect of consultation code changes on new patient visit volume. The article also places the findings in context with comparable trends in established patient E/M coding.
Why This Topic Matters
Understanding shifts in high-level E/M utilization helps practices compare their billing patterns with broader specialty trends and monitor how changes in coding behavior may affect claim mix over time.
What You Will Learn
- How CMS claims data was used to review high-level new patient E/M billing trends.
- Which general specialty groups were included in the analysis.
- How the article compares new patient and established patient E/M utilization trends over time.
- Why consultation code changes may affect future new patient E/M billing patterns.
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Physician practices
- Specialty practice managers
- Compliance and revenue cycle professionals
Codes Discussed
Code Ranges Discussed
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