decisionhealth Newsletters, Part B News - 2010 Issue 9 (September)
NPP Benchmark: NPP E/M service rate by state, 2008
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Article Overview
This benchmark article examines how often non-physician practitioners billed office-visit style evaluation and management services at the state level in 2008. It is relevant to coders, revenue cycle staff, analysts, and practice administrators who want to understand broader Medicare utilization patterns for NPP services and how state-level practice environments may relate to billing behavior. The article discusses the chart methodology, the Medicare/NPI-based data source, and broad comparisons between states with higher and lower proportions of E/M activity.
Why This Topic Matters
Understanding state-level NPP billing patterns can help readers interpret utilization data, compare markets, and contextualize how scope-of-practice environments may influence service mix. It is also useful for anyone analyzing Medicare NPP service volume and the relationship between direct billing and other types of services.
What You Will Learn
- How the article frames state-level NPP evaluation and management utilization
- How the benchmark compares NPP service mix across states
- What broad factors the article discusses in relation to NPP billing patterns
- How the article situates Medicare data and NPI-based billing in the analysis
Who Should Read This
- Medical coders
- Revenue cycle staff
- Practice administrators
- Healthcare analysts
- Compliance and billing professionals
Codes Discussed
Code Ranges Discussed
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