decisionhealth Newsletters, Part B News - 2022 Issue 6 (June)
Post-op E/M visits fall sharply in wake of COVID incursion
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Article Overview
This article examines how separately reported postoperative E/M encounters changed in Medicare claims during the early COVID-19 public health emergency. It is aimed at coders, billing staff, compliance teams, and practice leaders who track utilization patterns and reimbursement trends for postoperative visits. The piece summarizes overall volume and payment shifts, compares major service categories, and notes which specialties most often reported a key office-visit service in the postoperative period.
Why This Topic Matters
Postoperative E/M reporting can be affected by major utilization changes, public health disruptions, and specialty-specific practice patterns. Understanding broad claims trends helps coding and revenue cycle teams benchmark volume shifts and monitor how postoperative encounter reporting changes over time.
Article Sections
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Claims trends for postoperative encounters
This section summarizes broad Medicare claims and payment changes for separately reported postoperative patient encounters during the COVID-19 public health emergency. It compares trends across office, inpatient, and critical care settings.
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Specialty reporting patterns
This section identifies the specialties most frequently reporting a key postoperative office visit service and highlights how reporting patterns varied by specialty.
What You Will Learn
- How postoperative E/M utilization changed during the early COVID-19 period
- Which general encounter types were discussed in the Medicare claims analysis
- How specialty reporting patterns were summarized in the article
- Why postoperative claims monitoring may be useful for coding and revenue cycle review
Who Should Read This
- Medical coders
- Billing and claims staff
- Revenue cycle professionals
- Compliance teams
- Practice administrators
- Specialty clinic managers
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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