Part B Insider - 2017 Issue 5
Reader Question: Master Telephone E/M Codes
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Article Overview
This Q&A article is for medical coders and billing staff who need a refresher on telephone evaluation and management reporting. It discusses the general criteria, relationship to prior or subsequent services, and the importance of payer verification before submission. The article also places the topic in the broader context of related E/M communication services.
Why This Topic Matters
Telephone E/M reporting is a common source of claim denials and documentation questions. Understanding the article’s scope helps readers assess whether they need guidance on telephone encounters, related E/M timing rules, and payer acceptance issues.
Article Sections
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Question
Introduces the reader’s question about reporting telephone evaluation and management services.
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Answer
Summarizes the topic of telephone E/M reporting and identifies the general service types discussed.
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Reporting considerations
Covers broad prerequisites, timing relationships to other services, and the need to verify payer policies before submission.
What You Will Learn
- The general purpose and scope of telephone evaluation and management services
- How telephone encounters are discussed in relation to other E/M services
- Why payer review is important before submitting claims for these services
- What kinds of timing and service-relationship issues are addressed in the article
Who Should Read This
- Medical coders
- Billing staff
- Compliance teams
- Practice managers
- Physician office staff
Codes Discussed
Code Ranges Discussed
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