Matches in SemOpenAlex for { <https://semopenalex.org/work/W4308255666> ?p ?o ?g. }
Showing items 1 to 89 of
89
with 100 items per page.
- W4308255666 endingPage "98" @default.
- W4308255666 startingPage "89" @default.
- W4308255666 abstract "Advanced practice providers (APPs) comprise an increasing proportion of the emergency medicine (EM) workforce, particularly in rural geographies. With little known regarding potential expanding practice patterns, we sought to evaluate trends in independent emergency care services billed by APPs from 2013 to 2019.We performed a repeated cross-sectional analysis of emergency clinicians independently reimbursed for at least 50 evaluation and management (E/M) services (99281-99285, 99291) from Medicare Part B, with high-acuity services including Codes 99285 and 99291. We describe the outcome proportion of E/M services by acuity level and report at (1) the encounter level and (2) at the clinician level. We stratified analyses by clinician type and geography.A total of 47,323 EM physicians, 10,555 non-EM physicians, and 26,599 APPs were included in analyses. APPs billed emergency care services independently for 5.1% (rural 7.3%, urban 4.8%) of all high-acuity encounters in 2013, increasing to 9.7% (rural 16.4%, urban 8.8%) by 2019. At the clinician level, in 2013, the average rural-practicing APP independently billed 22.8% of services as high acuity, 72.6% as moderate acuity, and 4.5% as low acuity. By 2019, the average rural-practicing APP independently billed 36.2% of services as high acuity, representing a +58.8% relative increase from 2013. Relative increases in high-acuity visits independently billed by APPs were substantially greater when compared to EM physicians across both rural and urban geographies.In 2019, APPs billed independent services for approximately one in six high-acuity ED encounters in rural geographies and one in 11 high-acuity ED encounters in urban geographies, and well over one-third of the average APPs' encounters were for high-acuity E/M services. Given differences in training and reimbursement between clinician types, these estimates suggest further work is needed evaluating emergency care staffing decision making." @default.
- W4308255666 created "2022-11-09" @default.
- W4308255666 creator A5002894336 @default.
- W4308255666 creator A5024248557 @default.
- W4308255666 creator A5036388548 @default.
- W4308255666 creator A5060456823 @default.
- W4308255666 date "2022-12-07" @default.
- W4308255666 modified "2023-10-17" @default.
- W4308255666 title "Rising high‐acuity emergency care services independently billed by advanced practice providers, 2013 to 2019" @default.
- W4308255666 cites W1569714681 @default.
- W4308255666 cites W2059796825 @default.
- W4308255666 cites W2371698862 @default.
- W4308255666 cites W2758792857 @default.
- W4308255666 cites W2790567685 @default.
- W4308255666 cites W2801554843 @default.
- W4308255666 cites W2889155299 @default.
- W4308255666 cites W2896853260 @default.
- W4308255666 cites W3008260046 @default.
- W4308255666 cites W3037243914 @default.
- W4308255666 cites W3040764282 @default.
- W4308255666 cites W3086667425 @default.
- W4308255666 cites W3093876459 @default.
- W4308255666 cites W3108935635 @default.
- W4308255666 cites W3138503083 @default.
- W4308255666 cites W3187660266 @default.
- W4308255666 cites W3217452519 @default.
- W4308255666 cites W4282960780 @default.
- W4308255666 doi "https://doi.org/10.1111/acem.14625" @default.
- W4308255666 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36334276" @default.
- W4308255666 hasPublicationYear "2022" @default.
- W4308255666 type Work @default.
- W4308255666 citedByCount "5" @default.
- W4308255666 countsByYear W43082556662022 @default.
- W4308255666 countsByYear W43082556662023 @default.
- W4308255666 crossrefType "journal-article" @default.
- W4308255666 hasAuthorship W4308255666A5002894336 @default.
- W4308255666 hasAuthorship W4308255666A5024248557 @default.
- W4308255666 hasAuthorship W4308255666A5036388548 @default.
- W4308255666 hasAuthorship W4308255666A5060456823 @default.
- W4308255666 hasConcept C118487528 @default.
- W4308255666 hasConcept C129047720 @default.
- W4308255666 hasConcept C142724271 @default.
- W4308255666 hasConcept C159110408 @default.
- W4308255666 hasConcept C162324750 @default.
- W4308255666 hasConcept C2778139618 @default.
- W4308255666 hasConcept C2778257484 @default.
- W4308255666 hasConcept C2780724011 @default.
- W4308255666 hasConcept C50522688 @default.
- W4308255666 hasConcept C512399662 @default.
- W4308255666 hasConcept C545288138 @default.
- W4308255666 hasConcept C545542383 @default.
- W4308255666 hasConcept C71924100 @default.
- W4308255666 hasConceptScore W4308255666C118487528 @default.
- W4308255666 hasConceptScore W4308255666C129047720 @default.
- W4308255666 hasConceptScore W4308255666C142724271 @default.
- W4308255666 hasConceptScore W4308255666C159110408 @default.
- W4308255666 hasConceptScore W4308255666C162324750 @default.
- W4308255666 hasConceptScore W4308255666C2778139618 @default.
- W4308255666 hasConceptScore W4308255666C2778257484 @default.
- W4308255666 hasConceptScore W4308255666C2780724011 @default.
- W4308255666 hasConceptScore W4308255666C50522688 @default.
- W4308255666 hasConceptScore W4308255666C512399662 @default.
- W4308255666 hasConceptScore W4308255666C545288138 @default.
- W4308255666 hasConceptScore W4308255666C545542383 @default.
- W4308255666 hasConceptScore W4308255666C71924100 @default.
- W4308255666 hasFunder F4320306941 @default.
- W4308255666 hasFunder F4320337337 @default.
- W4308255666 hasFunder F4320337472 @default.
- W4308255666 hasIssue "2" @default.
- W4308255666 hasLocation W43082556661 @default.
- W4308255666 hasLocation W43082556662 @default.
- W4308255666 hasOpenAccess W4308255666 @default.
- W4308255666 hasPrimaryLocation W43082556661 @default.
- W4308255666 hasRelatedWork W1981969493 @default.
- W4308255666 hasRelatedWork W1989198041 @default.
- W4308255666 hasRelatedWork W2010777920 @default.
- W4308255666 hasRelatedWork W2125537253 @default.
- W4308255666 hasRelatedWork W2205562736 @default.
- W4308255666 hasRelatedWork W2216674862 @default.
- W4308255666 hasRelatedWork W2339879167 @default.
- W4308255666 hasRelatedWork W3001811734 @default.
- W4308255666 hasRelatedWork W3045685395 @default.
- W4308255666 hasRelatedWork W3176987042 @default.
- W4308255666 hasVolume "30" @default.
- W4308255666 isParatext "false" @default.
- W4308255666 isRetracted "false" @default.
- W4308255666 workType "article" @default.