decisionhealth Newsletters, Part B News - 2018 Issue 6 (June)
Per-capita E/M costs are $465 in Minot, N.D., but nearly $1,600 in Fort Lauderdale
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Article Overview
This article summarizes a Medicare claims-based look at evaluation and management spending across different U.S. localities. It highlights geographic variation in the share of Medicare payments devoted to routine E/M services and compares per-capita costs in several cities using CMS public-use data. The piece is useful for readers who follow Medicare payment patterns, geographic variation, and regional utilization trends.
Why This Topic Matters
Geographic variation can affect how practice revenue and patient-service patterns differ from one locality to another. This article helps readers understand broader Medicare spending trends and where E/M costs are relatively higher or lower by region.
What You Will Learn
- How Medicare evaluation and management spending varies by locality
- How per-capita E/M costs compare across selected U.S. cities
- How CMS geographic-variation data is used to examine regional Medicare payment patterns
- How E/M services fit into overall Medicare spending under Parts A and B
Who Should Read This
- Medical coders
- Billing and reimbursement professionals
- Practice managers
- Health policy analysts
- Physician office administrators
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