Warning: Providers may be making crucial mistakes in E/M billing.A recent transmittal from the Centers for Medicare & Medicaid Services lays out some important rules for new patient evaluation and management billing.In transmittal 731, CMS fine-tunes its definition of "new patient" for E/M coding. Experts say the policy hasn't really changed, but CMS is explaining it differently, which should make things clearer. Someone is a new patient if none of the office's physicians have seen her face-to-face in the past three years, according to the transmittal. So if one of the physicians interpreted a patient's test results...
To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.
Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4200 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
Access to this feature is available in the following products: