One year ago, CMS administrator Seema Verma announced the launch of the agency’s new Patients over Paperwork Initiative. This commendable effort established listening sessions, customer-centered ...

A consult must include documentation of three specific elements: an evaluation request and reason, a rendering of an opinion and a report back to the requesting physician. 3. Daily management of ...

SAN ANTONIO, Feb. 27, 2018 /PRNewswire-iReach/ -- Improperly coded claims, whether overpaid or underpaid, can cause a strain on a medical office's ...

Toni Elhoms, a Denver-based provider coding and education consultant, shared four tips with Medical Economics for preventing claim denials due to incorrect evaluation and management code levels. 1 ...

Observational codes were removed from the 2023 CPT Evaluation and Management codes. Inpatient coding is now based on level of decision-making or the amount of time spent in the service.

WASHINGTON, D.C. – The American College of Rheumatology (ACR) today applauded the Centers for Medicare & Medicaid Services (CMS) for including proposed reimbursement changes to evaluation and ...

In its 2010 Outpatient Prospective Payment System Final Rule, CMS eliminated the use of "consultation" codes (CPT 99241-99245) for new patient consultations by specialty physicians. Starting in 2010, ...

Medical billing practices, especially those involving erroneous selection of evaluation and management (E/M) services, can lead to big problems for healthcare providers, says Practice Management ...