Healthcare News: Hospitalists more likely to bill high-severity encounters compared to non-hospitalists, study shows

May 10th, 2022

Subscribe or sign in to view the full article.

articles:   
Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This news article reviews a study in JAMA Health Forum that examines trends in hospital encounter billing intensity among Medicare fee-for-service claims from 2009 through 2018. It is relevant to hospital coders, compliance teams, auditors, physicians, and revenue integrity staff who monitor inpatient E/M reporting patterns, specialty-based billing differences, and potential documentation or utilization concerns.

Why This Topic Matters

The article highlights how billing patterns for inpatient encounters may differ by physician group and change over time, which can affect compliance monitoring, reimbursement oversight, and internal auditing priorities in Medicare settings.

What You Will Learn

  • How the study compared billing intensity between hospitalists and non-hospitalists
  • What types of Medicare claims and encounter settings were analyzed
  • How the article frames the topic of high-severity inpatient billing over time
  • Why the findings are relevant to hospital compliance and revenue integrity efforts

Who Should Read This

  • Hospital coders
  • Compliance officers
  • Auditors
  • Revenue integrity staff
  • Physicians
  • Health system administrators

Codes Discussed

  • CPT: 99221
  • CPT: 99222
  • CPT: 99223
  • CPT: 99231
  • CPT: 99232
  • CPT: 99233
  • CPT: 99251
  • CPT: 99252
  • CPT: 99253
  • CPT: 99254
  • CPT: 99255

Code Ranges Discussed

  • CPT: 99221-99223
  • CPT: 99231-99233
  • CPT: 99251-99255

Subscribe or sign in to view the full article.

articles:   
Access to this feature is available in the following products:
  • HCPro's JustCoding Newsletters +Archives

The JustCoding® Newsletter is a fantastic resource for coding professionals. Whether you're an inpatient or outpatient coder, a veteran or new to the job, JustCoding will keep your skills sharp and help you stay abreast of CMS changes.


demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?