Industry Notes: Pocket New Medicare Advice on E/M Claims Review

Why This Topic Matters

It helps readers understand that CMS is reviewing claims under the updated office/outpatient E/M framework and signals the type of documentation reviewers may consider. That makes it relevant for practices adapting their workflows and compliance processes to the revised Medicare rules.

Article Sections

1. CMS fact sheet and claims review focus

   Summarizes a CMS fact sheet addressing review of office and outpatient E/M claims during the transition to updated guidance. It also places the discussion in the context of Medicare physician payment policy.

2. 2021 office/outpatient E/M framework

   Describes the broader 2021 E/M coding framework referenced by CMS, including the update process and its impact on Medicare providers. The section frames the guidance as part of the new office and outpatient visit structure.

3. Documentation and time-based review

   Covers the documentation focus CMS says reviewers will use when time is part of visit level selection. The section discusses the general review emphasis without providing coding instructions or examples.