decisionhealth Newsletters, Part B News - 2016 Issue 2 (February)
Primary care leads usage of office-, hospital-based prolonged services
Subscribe or sign in to view the full article.
Article Overview
This piece summarizes specialty-level utilization of prolonged service billing in Medicare claims, highlighting how frequently different medical groups reported these services and how patterns differed between office-based and hospital-based settings. It is relevant for physicians, coders, billers, and practice managers who track documentation, time-based service reporting, and utilization trends tied to prolonged services.
Why This Topic Matters
Understanding specialty utilization trends and updated time-related guidance helps practices benchmark their billing patterns and stay alert to changes affecting prolonged service reporting in outpatient and hospital settings.
Article Sections
-
Office-based prolonged service utilization
Discusses which specialties most frequently reported office-based prolonged service billing and compares their relative claim volumes and denial patterns using Medicare data.
-
Hospital-based prolonged service utilization
Summarizes prolonged service billing in hospital and observation settings, including which specialties were most active in this category.
-
Utilization of prolonged service codes by specialty, 2014
Presents the referenced utilization trend information for 2014 across specialties.
What You Will Learn
- How prolonged service billing varies across specialties
- How office-based and hospital-based prolonged service trends differ
- Which general types of providers were most active in the cited Medicare data
- Why time-related guidance for prolonged services may be relevant to outpatient billing
Who Should Read This
- Physicians
- Medical coders
- Medical billers
- Practice managers
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com