Evaluation and management

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Physician care plan oversight services

Care plan oversight (CPO) is supervision of patients under care of home health agencies or hospices that require complex and multidisciplinary care modalities involving regular physician development…

Prolonged physician services: Home or residence visits

Learn more about billing Medicare for prolonged home or residence E/M services that exceed the maximum time by at least 15 minutes on the date of service.

First Coast’s E/M interactive worksheet updates: Verify your E/M code selection

Our E/M interactive worksheet has been upgraded to assist you with verifying proper code selection for office and “other” E/M visits for 2023 and beyond. Take a look.

Physician and allowed practitioner certification and recertification of home health services

Physician or allowed practitioner services involving certification and recertification of Medicare-covered home health services may be separately coded and reimbursed.

Prolonged physician services: Office and other outpatient visits

Learn more about billing Medicare for prolonged office and other outpatient E/M services that exceed the maximum time by at least 15 minutes on the date of service.

Critical care services

CMS has new guidelines for critical care services effective January 1, 2022. These updates were implemented February 15, and impacted existing billing and coding processes.

Prolonged physician services: Office and other outpatient visits

Learn more about billing Medicare for prolonged office and other outpatient E/M services that exceed the maximum time by at least 15 minutes on the date of service.

Critical care services

CMS has new guidelines for critical care services effective January 1, 2022. These updates were implemented February 15, and impacted existing billing and coding processes.

Do not report more than one unit per date of service for E/M codes

Avoid claim rejects. If you bill E/M codes within the CPT code range 99202-99239, do not report more than one unit per date of service.