Dermatology Resident Billing and the Impact of 2021 Evaluation and Management Coding Changes

New billing rules were implemented in 2021 for determining the level of service in outpatient encounters. The purpose of this study was to assess overall dermatology resident billing at our institution and the impact of these rule changes. Billing codes from four months of our resident clinic were e...

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Detalles Bibliográficos
Autores principales: Tassavor, Michael, Shah, Aatman, Ungar, Jonathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Dermatology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8294024/
https://www.ncbi.nlm.nih.gov/pubmed/34306877
http://dx.doi.org/10.7759/cureus.15810
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author Tassavor, Michael
Shah, Aatman
Ungar, Jonathan
author_facet Tassavor, Michael
Shah, Aatman
Ungar, Jonathan
author_sort Tassavor, Michael
collection PubMed
description New billing rules were implemented in 2021 for determining the level of service in outpatient encounters. The purpose of this study was to assess overall dermatology resident billing at our institution and the impact of these rule changes. Billing codes from four months of our resident clinic were extracted from our electronic medical records (EMR) and analyzed. Nationwide Medicare data for dermatologists were used as a comparison. The coding changes were associated with a 13% increase in level 4 codes and a 20% decrease in level 2 codes. Overall, level 3 codes remained the most common codes submitted. Billing patterns were not concordant with nationwide Medicare utilization.
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spelling pubmed-82940242021-07-23 Dermatology Resident Billing and the Impact of 2021 Evaluation and Management Coding Changes Tassavor, Michael Shah, Aatman Ungar, Jonathan Cureus Dermatology New billing rules were implemented in 2021 for determining the level of service in outpatient encounters. The purpose of this study was to assess overall dermatology resident billing at our institution and the impact of these rule changes. Billing codes from four months of our resident clinic were extracted from our electronic medical records (EMR) and analyzed. Nationwide Medicare data for dermatologists were used as a comparison. The coding changes were associated with a 13% increase in level 4 codes and a 20% decrease in level 2 codes. Overall, level 3 codes remained the most common codes submitted. Billing patterns were not concordant with nationwide Medicare utilization. Cureus 2021-06-21 /pmc/articles/PMC8294024/ /pubmed/34306877 http://dx.doi.org/10.7759/cureus.15810 Text en Copyright © 2021, Tassavor et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Dermatology
Tassavor, Michael
Shah, Aatman
Ungar, Jonathan
Dermatology Resident Billing and the Impact of 2021 Evaluation and Management Coding Changes
title Dermatology Resident Billing and the Impact of 2021 Evaluation and Management Coding Changes
title_full Dermatology Resident Billing and the Impact of 2021 Evaluation and Management Coding Changes
title_fullStr Dermatology Resident Billing and the Impact of 2021 Evaluation and Management Coding Changes
title_full_unstemmed Dermatology Resident Billing and the Impact of 2021 Evaluation and Management Coding Changes
title_short Dermatology Resident Billing and the Impact of 2021 Evaluation and Management Coding Changes
title_sort dermatology resident billing and the impact of 2021 evaluation and management coding changes
topic Dermatology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8294024/
https://www.ncbi.nlm.nih.gov/pubmed/34306877
http://dx.doi.org/10.7759/cureus.15810
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