Pediatric Primary Care Billing Trends After the 2021 Evaluation and Management Coding Changes

Author:

Rabbani Naveed123,Patane Laura Burckett1,Hatoun Jonathan124,Correa Emily Trudell1,Vernacchio Louis124

Affiliation:

1. Pediatric Physicians’ Organization at Children’s, Wellesley, Massachusetts

2. Department of Pediatrics, Harvard Medical School, Boston, Massachusetts

3. Computational Health Informatics Program, Boston Children’s Hospital, Boston, Massachusetts

4. Division of General Pediatrics, Boston Children’s Hospital, Boston, Massachusetts

Abstract

This cross-sectional study examines the differences in billing trends for pediatric patient care compared with adult care after the 2021 evaluation and management (E/M) policy changes.

Publisher

American Medical Association (AMA)

Reference6 articles.

1. Implications of changes in Medicare payment and documentation for primary care spending and time use.;Basu;J Gen Intern Med,2021

2. Payment, priorities, and primary care: can cognitive work be properly valued?;Khullar;JAMA,2023

3. Early changes in billing and notes after evaluation and management guideline change.;Apathy;Ann Intern Med,2022

4. Association of evaluation and management payment policy changes with Medicare payment to physicians by specialty.;Neprash;JAMA,2023

5. CPT Evaluation and Management (E/M) Office or Other Outpatient (99202-99215) and Prolonged Services (99354, 99355, 99356, 99417) Code and Guideline Changes. American Medical Association. March 9, 2021. Accessed April 17, 2024. https://www.ama-assn.org/system/files/2019-06/cpt-office-prolonged-svs-code-changes.pdf

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