HealthLeaders Media September 21, 2022
Jay Asser

A study examines the differences in reimbursement for medical decision-making (MDM) billing and time-based billing.

Which billing model leads to more revenue for physicians? That depends on length of patient visit, according to a study published in JAMA Open Network.

The findings revealed time-based billing was associated with higher reimbursement for longer evaluation and management (E/M) visits, whereas MDM billing was associated with higher reimbursement for shorter visits.

To compare the billing models, researchers used 2018 National Ambulatory Medical Care Survey summary data, 2019 billing data for outpatient E/M codes, and 2021 reimbursement rates from CMS.

MDM billing is used under a fee-for-service model, which remains the most common among U.S. physicians and reimburses providers for E/M services based on...

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Topics: CMS, Govt Agencies, HIM (Health Inf Mgmt), Physician, Provider, RCM (Revenue Cycle Mgmt), Survey / Study, Technology, Trends
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