decisionhealth Newsletters, Part B News - 2015 Issue 10 (October)
DNA tests, PQRS codes see big utilization gains between 2013 and 2014
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Article Overview
This article reviews Medicare claims data to identify the codes with the largest utilization gains between 2013 and 2014. It is relevant to coders, billing staff, compliance teams, and analysts who track HCPCS and related reporting trends, especially in laboratory testing, immunization services, and PQRS reporting activity. The piece presents a ranked list of high-growth codes and notes that some entries are non-payable quality-reporting codes.
Why This Topic Matters
Understanding utilization shifts can help coding and billing professionals monitor reporting patterns, spot service mix changes, and stay aware of which HCPCS and related codes are seeing rapid volume growth in Medicare claims.
Article Sections
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Benchmark of the week
A brief framing section introducing the utilization trend discussed in the article and the Medicare claims context behind it.
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The top ten
A ranked list of high-growth codes drawn from Medicare utilization data, spanning laboratory, vaccine, injectable, and quality-reporting categories.
What You Will Learn
- How the article frames Medicare utilization growth for selected billing codes
- Which broad service categories appear among the fastest-growing codes
- How the article situates HCPCS and related reporting activity in claims trends
- What types of Medicare-reported code changes are highlighted in the ranking
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Compliance professionals
- Healthcare data analysts
- Practice managers
Codes Discussed
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