decisionhealth Newsletters, Coder Pink Sheets - 2020 Issue 5 (May)
E/M services: Telehealth office visit codes can be selected based on time or MDM
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Article Overview
This article covers temporary CMS and HHS telehealth policy changes tied to the COVID-19 public health emergency. It focuses on how office/outpatient E/M services may be selected during telehealth encounters, how telephone E/M services are reported, and how Medicare-related guidance affects practices that bill these services. The piece is relevant to coding and billing staff, physicians, and other qualified health care professionals who need to understand the current emergency-era guidance and its relationship to upcoming office visit E/M standards.
Why This Topic Matters
Telehealth and telephone E/M billing rules changed rapidly during the COVID-19 emergency, affecting how practices document and report services. Understanding the temporary policy helps organizations align billing workflows with current CMS guidance and prepare for broader E/M changes.
Article Sections
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Code office E/M via telehealth based on time or MDM
This section discusses temporary telehealth policy for office/outpatient E/M encounters during the public health emergency. It places the guidance in the context of Medicare telehealth and upcoming office visit standards.
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Report telephone E/M visits
This section addresses reporting of telephone-based evaluation and management services and the related temporary guidance for emergency-period billing. It also distinguishes between physician/QHP reporting and nonphysician professional reporting categories.
What You Will Learn
- How temporary telehealth E/M guidance relates to office/outpatient services during the COVID-19 public health emergency.
- What general categories of telephone-based services are discussed in the article.
- Which organizations and policy updates are driving the emergency-era telehealth changes.
- How the article frames the relationship between current temporary guidance and upcoming E/M visit standards.
Who Should Read This
- Medical coders
- Medical billers
- Physicians
- Qualified health care professionals
- Practice managers
- Revenue cycle staff
Codes Discussed
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