tci E/M Coding Alert - 2017 Issue 5

Policy Change: Understand NGS Policy Update on Exam Levels

As of July 1, detailed exams will require 6-7 body areas or organ systems. Recently, the Medicare Administrator Contractor (MAC) National Government Services (NGS) announced modifications to its policy regarding evaluation and management (E/M) expectations for expanded problem focused and detailed exams. Let’s look at the NGS announcement and see what the CMS guidelines say about expanded problem focused vs. detailed exams. Discover Meaning of NGS Exam Requirement Change According to its announcement, the NGS change to E/M expectations for expanded problem focused and detailed exams will be effective for services physicians perform on and after July 1...

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