May 8, 2026 · Family medicine · DOI: 10.22454/FamMed.2026.740206

The Primary Care Exception During and After a Public Health Emergency

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This study investigates the impact of the Primary Care Exception (PCE) on billing practices in an internal medicine residency clinic during and after the COVID-19 public health emergency. The authors found that the use of moderate complexity billing codes (99214) significantly increased during the PHE, with a 52.2% higher utilization compared to post-PHE, highlighting important implications for clinic operations and medical education.

Stephen Fuest, Peter J McDonnell, Nickole Forget

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