decisionhealth Newsletters, Part B News - 2023 Issue 10 (October)
Payments lag though claims jump for 99214, as 99215 surges
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Article Overview
This article reviews Medicare Part B claims trends for routine office visits over a four-year period, focusing on how utilization and payment patterns changed after the pandemic. It is aimed at coders, billing professionals, and practice leaders who track office visit reporting and reimbursement trends. The discussion places the trends in the context of Medicare claims data and CMS policy changes affecting payment levels.
Why This Topic Matters
Understanding shifts in office visit volume and reimbursement helps coding and revenue cycle teams monitor practice performance, anticipate payment changes, and interpret broader Medicare trend data.
What You Will Learn
- How Medicare claims volume changed for routine office visit services over time
- How payment trends differed from utilization trends for commonly reported office visit codes
- What broad Medicare policy factors are discussed in relation to reimbursement movement
- How the article frames the relationship between claims activity and denial rates
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Practice administrators
- Physician office managers
Codes Discussed
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