Benchmark of the Week: Utilization of high-level E/M codes, 2006 vs. 2008

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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 summarizes a Part B News analysis of CMS claims data showing how utilization of higher-level evaluation and management services changed over a three-year period. It is aimed at coders, billing staff, compliance teams, and specialty practices that track coding patterns, documentation trends, and Medicare utilization benchmarks. The piece also places the trend in the context of broader documentation and electronic health record adoption, while comparing patterns across high-volume specialties.

Why This Topic Matters

Understanding shifts in evaluation and management utilization helps practices benchmark their billing patterns against peers and monitor documentation trends that may affect coding behavior. The article is useful for organizations watching specialty-level Medicare claim patterns and changes over time.

What You Will Learn

  • How a claims-data benchmark can be used to compare coding patterns over time.
  • Which broad specialties showed notable changes in higher-level evaluation and management utilization.
  • What general factors may contribute to rising use of higher-level evaluation and management services.
  • How Medicare claims volume was used to define the analysis population.

Who Should Read This

  • Medical coders
  • Billing staff
  • Practice managers
  • Compliance professionals
  • Physician groups
  • Specialty practices

Codes Discussed

Code Ranges Discussed


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