decisionhealth Newsletters, Coder Pink Sheets - 2013 Issue 12 (December)
Change in total payment increase to anesthesiologists by percent, 2011 to 2012
Subscribe or sign in to view the full article.
Article Overview
This article discusses how Medicare and private payers monitor claims for abrupt utilization and payment changes, using anesthesiology services as the example area. It is aimed at coding and billing professionals who want to understand the relevance of payer trend surveillance, internal claim review, and the types of payment-change data highlighted in the accompanying chart.
Why This Topic Matters
Understanding payer monitoring of claim trends helps practices recognize when billing patterns may draw scrutiny and prompts internal review before denials or overpayment demands arise.
What You Will Learn
- Why payers monitor sudden changes in utilization and payment patterns
- How claim-trend analysis can affect anesthesiology practices
- What kinds of payment-change data are highlighted in the article's chart
- Why internal review can be important when billing patterns change
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Anesthesiology practices
- Compliance professionals
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com