E/M utilization flat in 2015 — but watch out for late baby boomers (Updated)

Why This Topic Matters

Understanding utilization trends helps practices anticipate shifts in E/M claim volume and monitor how payer and demographic changes may affect billing patterns. The article also highlights why patient status and specialty relationships can matter in E/M reporting.

Article Sections

1. Utilization trends in Medicare E/M claims

   Summarizes recent changes in overall E/M utilization and compares patterns across broad visit categories. The section focuses on Medicare claims trends and their relative movement over time.

2. Claims not always in step with payment

   Discusses the relationship between utilization and payment for E/M services using Medicare data. It compares changes in use and reimbursement across categories without detailing coding rules.

3. Boomers will boost E/M visits

   Explores how the aging baby boomer population may affect future Medicare patient volume. The section cites demographic context and expert commentary on anticipated visit growth.

4. Capture new patients with change of insurance

   Addresses broader E/M patient-status considerations in the context of specialty and subspecialty care. It also includes an update correcting a prior statement about patient reclassification.