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tci E/M Coding Alert - 2023 Issue Q4

Guidelines: Remember These Three Things When Billing Medicare

Finally get clarification on Medicare’s rules for E/M service encounters. On Aug. 29, 2023, the Centers for Medicare & Medicaid Services (CMS) finally released an updated version of its Medicare Learning Network (MLN) Evaluation and Management Services Guide, which it had withdrawn in February. Here are three of the big takeaways from the new MLN E/M guide you need to know when billing E/M services for your Medicare patients. Beware Discrepancy Over Critical Care Prolonged Services The current MLN E/M guide highlights a major disagreement between CMS and CPT® over when you can apply +99292 (… each additional...

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