decisionhealth Newsletters, Part B News - 2022 Issue 1 (January)
Online only: More PBN 2022 Predictions
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Article Overview
This article summarizes several 2022 outlooks for physician practices and health care organizations, including Medicare’s growing attention to social determinants of health, continued merger and acquisition activity, expansion of ambulatory and specialty care models, and the ongoing impact of recent evaluation and management office visit updates. It is useful for coders, practice managers, and reimbursement professionals who want to understand the broad policy and operational issues likely to affect documentation, billing, and care delivery in the coming year.
Why This Topic Matters
The piece helps readers gauge which Medicare, commercial payer, and practice-operations trends may influence compliance, documentation, and business strategy in 2022. It is especially relevant for organizations tracking health equity initiatives, consolidation, outpatient care growth, and office-visit coding stability.
Article Sections
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Social determinants of health become more visible in Medicare
Discusses the growing emphasis on health equity and social factors in Medicare and related payment and quality policy. It also touches on broader documentation and care-planning trends across CMS programs.
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Physician practice and other health care mergers and acquisitions stay hot
Covers expectations for continued consolidation in physician practices and other health care businesses. The section includes discussion of private equity, platform growth, and participation by non-traditional market entrants.
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Growth in medical focus factories and ambulatory surgical centers
Reviews anticipated expansion in specialty-focused outpatient facilities and ambulatory surgical centers. It addresses market forces, facility models, and broad outpatient care trends.
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Minimal disruption to E/M office visit coding and billing in 2022
Summarizes expectations for physician office evaluation and management coding after recent documentation updates. It also mentions training, payer denials, and the possibility of continued claim-level review.
What You Will Learn
- How the article frames Medicare’s increased attention to social determinants of health
- Why consolidation and acquisition activity are expected to remain prominent in health care
- What broad outpatient facility trends are highlighted for 2022
- What the article suggests about the operational impact of recent E/M office visit updates
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle professionals
- Physician owners
- Health care consultants
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