In CMS
Nov 14th, 2018
Earlier this year, as part of its 2019 Physician Fee Schedule Proposed Rule, the Centers for Medicare & Medicaid Services (CMS) raised the possibility that it might reduce by 50 percent payments for same-day E/M services provided with procedures. Now, with the release of the 2019 Physician Fee Schedule Final Rule, CMS has reversed the ...
Per the final rule regarding the CMS (Centers for Medicare & Medicaid Services) evaluation and management (E/M) documentation guideline changes for office/outpatient visits (released November 1, 2018), the following office outpatient visit documentation changes will be implemented January 1, 2019: History and exam documentation for established patients for E/M office/outpatient visits The curr...
In Coding
Oct 31st, 2018
Preventive medicine services, or “well visits,” are evaluation and management (E/M) services provided to a patient without a chief complaint. The reason for the visit is not an illness or injury (or signs or symptoms of an illness or injury), but rather to evaluate the patient’s overall health, and to identify potential health problems before ...
In Coding
Oct 25th, 2018
If a patient has a condition that needs to be monitored to determine a course of treatment, they may be admitted to hospital observation status. For example, if a patient presents to the emergency department (ED) with acute abdominal cramping, the provider can admit the patient to observation status. After a period of monitoring, the ...
In CMS
Aug 20th, 2018
The Centers for Medicare & Medicaid Services (CMS) is proposing three new HCPCS Level II add-on codes to be used specifically with evaluation and management (E/M) codes, which would also be revised to create a single rate of $93 for established patients (99212-99215) and a single rate of $135 for new patients (99202-99205). The add-on codes are designed to provide for an additional payment to ...