Medicare Compliance & Reimbursement - 2020 Issue 6
Reader Question: Not So Fast on Changing E/M Guidelines
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Article Overview
This article addresses a subscriber question about upcoming evaluation and management coding changes and explains which service settings are affected. It is aimed at coders, billers, and administrators who need to know whether revised E/M selection guidance applies to emergency department services or only to office and other outpatient encounters. The piece focuses on the scope of the change, the timing referenced in the question, and the distinction between code sets and service locations.
Why This Topic Matters
Understanding which E/M code families are affected helps practices avoid applying the wrong selection framework to emergency department services. The article is useful for anyone tracking CMS-related E/M updates and preparing for documentation and coding workflow changes.
What You Will Learn
- Which E/M service settings are included in the planned change
- Which E/M code family is excluded from the update
- How the article frames the difference between office/outpatient and emergency department coding guidance
- The timing referenced for the scheduled E/M update
Who Should Read This
- Medical coders
- Billing staff
- Practice administrators
- Compliance staff
- Physician office staff
- Emergency department coding teams
Codes Discussed
Code Ranges Discussed
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