ED Coding & Reimbursement Alert - 2017 Issue 5
Physician Notes: Be Aware of Changes to Prolonged Service Time Limits
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Article Overview
This article covers CMS guidance relevant to physician coding and compliance, focusing on changes to prolonged evaluation and management service reporting in 2017 and a separate update to the Self-Referral Disclosure Protocol form. It is useful for coders, billing staff, compliance teams, and physicians who need to track Medicare policy updates, documentation expectations, and disclosure process changes.
Why This Topic Matters
It helps readers identify current CMS guidance affecting prolonged service claims and a Medicare disclosure workflow change that may impact compliance processes.
Article Sections
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Changes to prolonged service reporting
This section summarizes CMS updates affecting prolonged evaluation and management services and the timing of related Medicare payment guidance. It also notes documentation expectations tied to these services.
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CMS self-referral disclosure form update
This section describes a CMS form change related to physician self-referral disclosures and the effective timing discussed in the article. It also points readers to the agency’s disclosure protocol resources.
What You Will Learn
- How CMS guidance addresses prolonged E/M service reporting
- What the article says about documentation expectations for prolonged services
- What changed in the CMS self-referral disclosure process
- Which CMS resources are referenced for further information
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Compliance officers
- Practice managers
Codes Discussed
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