decisionhealth Newsletters, Part B News - 2019 Issue 10 (October)
Outpatient E/M use — especially 99214 — continued to rise in 2018
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Article Overview
This article examines Medicare’s 2018 patient claims data with a focus on outpatient evaluation and management services. It is relevant to coders, billing staff, auditors, and compliance teams who track office visit utilization, payment patterns, and denial trends. The discussion places broader E/M claim trends in context and notes how proposed CMS changes could affect future coding patterns.
Why This Topic Matters
The article helps readers understand how Medicare utilization and payment patterns shifted in 2018, especially within outpatient office E/M services. It is useful for organizations monitoring workload, revenue impact, and the broader policy environment affecting E/M coding.
What You Will Learn
- How Medicare’s 2018 claims data changed across overall services
- How outpatient E/M utilization and payment trends were tracked over time
- What the article highlights about shifts in office visit coding patterns
- Why future CMS policy changes could matter for outpatient E/M services
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle staff
- Compliance professionals
- Practice administrators
- Healthcare auditors
Codes Discussed
Code Ranges Discussed
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