ED Coding & Reimbursement Alert - 2022 Issue 6
Emergency Medicine: Use These 5 Benchmarking Tips to See How Your Team Compares
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Article Overview
This article explains how emergency medicine practices can use benchmarking to compare coding and financial performance against internal history and broader industry patterns. It focuses on practical areas such as year-over-year comparison, evaluation and management service distribution, ratios across service categories, and reviewing physician-level trends. The piece is intended for emergency medicine coders, billers, practice managers, and physicians who want a general framework for performance review and coding analysis.
Why This Topic Matters
Benchmarking helps emergency medicine practices understand whether their coding and operational patterns are changing over time and how they compare with peers. That can support audits, performance monitoring, and targeted review of documentation and coding trends.
Article Sections
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Understand How to Use Benchmarking
Introduces benchmarking as a way to compare internal results with historical data and broader industry standards. The section frames benchmarking as a tool for monitoring practice performance over time.
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Compare Your Year-Over-Year First
Discusses starting with accessible internal financial data and comparing current performance against prior periods. The section centers on practice-level operational measurement and trend review.
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Determine Distribution of E/M Services
Explains reviewing evaluation and management service patterns over time to understand reporting distribution. The section emphasizes identifying trends rather than relying on a single snapshot.
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Consider Ratios of Each Code Versus All E/M Services
Covers comparing category-level service mix against the broader set of evaluation and management services. The section also mentions using multiple reference points and historical data sources for analysis.
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Analyze the Details
Focuses on reviewing physician-level differences and investigating unusual practice patterns. The section is about closer chart review and possible training follow-up.
What You Will Learn
- How benchmarking can be used to compare emergency medicine coding performance over time
- Which internal financial metrics are commonly used as starting points for analysis
- Why evaluation and management service distribution matters in emergency department reporting
- How to think about service mix ratios and physician-level coding variation
- What kinds of follow-up review may be prompted by unusual coding trends
Who Should Read This
- Emergency medicine physicians
- Medical coders
- Medical billers
- Practice managers
- Revenue cycle staff
- Compliance and audit teams
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