This study explores variation in coded billing level of primary care office visits accounting for comprehensive scope of visit-related work effort. The goal is to develop evidence on how patient care activities should be measured and compensated to better reflect doctor and staff effort. The study uses electronic health record data to put the visit in context of patient’s history, socioeconomic factors, prior experience with the physician, and physician work during and outside of face-to-face visit. Findings will be discussed with PAMF leaders to recommend ways to modify physician payment.

Funder

Agency for Healthcare Research and Quality