3 Rules Simplify Your E/M Claims

Why This Topic Matters

These topics affect whether an E/M service is reported separately, which CPT code family is selected, and how claims are aligned with the correct place of service and date of service. Understanding the article helps practices reduce avoidable denials and improve consistency in E/M reporting.

Article Sections

1. Report Pre-Op Exams With Caution

   Discusses preoperative history and physical visits in relation to global surgical services and documentation considerations. The section addresses when pre-op evaluation scenarios may require closer review.

2. Codes Differ for Rest Home, Nursing Facility

   Explains that CPT distinguishes between services provided in rest home settings and nursing facilities. It also notes the related place-of-service distinctions discussed in the article.

3. Calendar Date, Not Hours, Defines a 'Day'

   Covers how dates of service are counted for E/M reporting when visits occur close together on consecutive calendar dates. The section focuses on the timing concept used for separate reporting.