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

Why This Topic Matters

It helps practices understand the general scope of CMS review activity and the documentation focus surrounding office and outpatient E/M claims under the updated Medicare guidance.

Article Sections

1. CMS fact sheet on E/M claims review

   Introduces the CMS fact sheet and its relevance to Medicare review of office and outpatient E/M services during the transition period.

2. 2021 Medicare Physician Fee Schedule context

   Summarizes the broader rulemaking context in which the updated E/M guidance was finalized and released for Medicare providers.

3. Documentation and time-based review focus

   Describes the general documentation emphasis CMS says reviewers may consider when time is used in support of an E/M visit.

4. Reminder on code selection approach

   Notes the article’s discussion of the updated office and outpatient E/M framework and the transition period for practitioners.