Association of Time-Based Billing With Evaluation and Management Revenue for Outpatient Visits.

ABSTRACT:

Importance

Time-based billing options for physicians have expanded, enabling many physicians to bill according to time spent instead of medical decision-making (MDM) level for fee-for-service outpatient visits. However, no study to date has estimated the revenue changes associated with time-based billing.

Objective

To compare evaluation and management (E/M) reimbursement for physicians using time-based billing vs MDM-based billing for outpatient visits of varying lengths.

Design, setting, and participants

This economic evaluation used 2019 billing data for outpatient E/M codes and 2021 reimbursement rates from the Centers for Medicare & Medicaid Services. Modeling of generic clinic templates was performed to estimate expected yearly E/M revenues for a single full-time

SUBMITTER: Miksanek TJ 

PROVIDER: S-EPMC9434360 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature