E/M update includes review warning for time, no help for split/shared billing

Why This Topic Matters

The update affects how organizations align documentation and billing workflows with current Medicare E/M guidance. It is especially relevant for teams monitoring regulatory changes, audit risk, and implementation timing across inpatient and outpatient care settings.

Article Sections

1. Coding

   Introduces the Medicare update and identifies the E/M service areas affected by the change request.

2. Manual and fee schedule update

   Summarizes the relationship between the CMS manual revision and the final 2023 Medicare physician fee schedule changes.

3. Time-based documentation guidance

   Discusses the added language addressing how reviewers assess documentation when time is used to support an E/M service.

4. Split/shared visit guidance

   Reviews the revised split/shared language and notes the remaining uncertainty around component-based reporting.

5. Resources

   Lists the CMS reference materials cited in the article.