E/M Coding: Only 'Treating Physician' Can Report Subsequent Observation Care, CMS Clarifies

Why This Topic Matters

The article addresses a source of confusion in observation care reporting and summarizes how CMS is distinguishing among physicians involved in the encounter. That matters for compliant E/M coding workflows, especially for organizations that bill observation services and related outpatient visits.

Article Sections

1. CMS clarification on subsequent observation care

   Discusses CMS guidance and the general reporting context for subsequent observation care within E/M coding. It also notes the timing and source of the clarification.

2. MAC advice

   Summarizes Medicare contractor commentary related to observation care reporting and the broader outpatient visit framework.

3. Plus

   Highlights an additional CMS comment about how often subsequent observation care reporting is expected to occur.