Pediatric Application of Coding and Valuation Systems

Pediatrics. 2019 Oct;144(4):e20192498. doi: 10.1542/peds.2019-2498.

Abstract

The American Academy of Pediatrics provides this technical report as supplemental background to the accompanying coding and valuation system policy statement. The rapid evolution in health care payment modeling requires that clinicians have a current appreciation of the mechanics of service representation and valuation. The accompanying policy statement provides recommendations relevant to this area, and this technical report provides a format to outline important concepts that allow for effective translation of bedside clinical events into physician payment.

MeSH terms

  • Centers for Medicare and Medicaid Services, U.S.
  • Clinical Coding* / legislation & jurisprudence
  • Current Procedural Terminology
  • Health Insurance Portability and Accountability Act
  • Humans
  • International Classification of Diseases*
  • Medicare Access and CHIP Reauthorization Act of 2015
  • Pediatrics*
  • Relative Value Scales*
  • United States