decisionhealth Newsletters, Part B News - 2021 Issue 12 (December)
E/M revenue fell for PAs, NPs in 2020, but billing shares jumped
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Article Overview
This article examines how pandemic-era Medicare claims patterns changed for established office visit evaluation and management services in 2020. It focuses on nurse practitioners and physician assistants, comparing revenue, claim volume, and billing share trends across office visit levels and over multiple years. The piece is relevant to coders, compliance staff, practice administrators, and clinicians who track E/M utilization and Medicare billing patterns.
Why This Topic Matters
Understanding shifts in E/M claim volume and payment patterns helps organizations monitor revenue changes, staffing impacts, and billing distribution across provider types during the first year of the public health emergency.
What You Will Learn
- How Medicare claims for established office visit E/M services changed in 2020
- How billing shares differed for nurse practitioners and physician assistants over time
- How claim volume and reimbursement trends varied across office visit levels
- Why Medicare claims data may underrepresent some provider contributions
Who Should Read This
- Medical coders
- Billing specialists
- Compliance professionals
- Practice administrators
- Physician assistants
- Nurse practitioners
Codes Discussed
Code Ranges Discussed
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