E/M Documentation and Coding Articles and Resources

Code Sets

E/M CPT Codes

Evaluation and Management Services

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E/M Calculator

Use this tool to calculate an E/M (Evaluation & Management) CPT™ code based on components or time.

E/M Webinars

E/M Coding and Auditing

Evaluation and Management Coding and Auditing

Coding and Auditing Inpatient E/M

Coding-Auditing Inpatient E/M - A Hands-On Experience

E/M Calculator Tool

Using Find-A-Code's New E/M Calculator Tool

Four Part E/M Training

Part 1

E/M Self Audit for Beginners - Part 1 Fundamentals

Part 2

E/M Self Audit for Beginners - Part 2 History

Part 3

E/M Self Audit for Beginners - Part 3 Examination

Part 4

E/M Self Audit for Beginners - Part 4 MDM

Additional Links and Resources

Noridian: E/M Resources

Noridian JE Part B E/M Resources

E/M Documentation Auditor’s Instructions

E/M Documentation Auditor’s Instructions

Select the title to see a summary and a link to the full article.

Reporting CCM and TCM Codes with E/M Codes

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When reporting CCM or TCM codes, you will only get reimbursed for what is allowed.  The E/M office visits can be coded in addition but are not interchangeable with CCM codes. You can bill an E/M visit during the time a patient is under Care Management, however, you can’t count time ...

How Much Do You Care about the 2022 Care Management Service Changes?

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Have you already implemented a care management services program in your provider organization? If not, now may be the time to seriously consider doing so. Significant 2022 changes to the codes and increases in RVUs and reimbursement rates creates an opportunity not only to improve patient care for chronic conditions but will also help your practice increase revenues if done correctly.

Preventive Medicine Versus E&M Codes: The Same-Day Coding Dilemma

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Choosing a proper office visit code can become confusing unless one understands the rules separating preventive medicine and evaluation and management (E&M) coding. Problem-oriented E&M services, office, and other outpatient visit codes 99202-99215 (along with hospital, observation, and consultative encounters) are for patients who present with signs, symptoms,...

Critical Care Services Changes in the Medicare 2022 Final Rule

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Critical Care Services — Medicare's final ruling has been released. This article discusses the changes to critical care services, including bundled services, concurrent services, global surgery, time spent performing CCS services, and documentation requirements. It also lists the two new modifiers.

Important Changes to Shared/Split Services

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Reporting of split (or shared) services has always been wrought with the potential for incorrect reporting when the fundamental principles of the service are not understood. A recent CMS publication about these services further complicates the matter.

Properly Reporting Imaging Overreads (Including X-Rays)

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hile many provider groups offer some imaging services in their offices, others may rely on external imaging centers. When the provider reviews images performed by an external source (e.g., independent imaging center), that is typically referred to as an overread or a re-read. Properly reporting that work depends on a variety of factors as discussed in this article.

Critical Evaluation and Management Changes Recently Announced by AMA

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On March 9, 2021, the American Medical Association (AMA) announced some pretty significant changes in relation to reporting Evaluation and Management (E/M) services, particularly for Office or Other Outpatient Services (99202-99215). The AMA Editorial Panel had previously met to discuss how to address concerns and made changes surrounding Office or Other Outpatient Services which are retroactive to January 1, 2021. Learn more about those changes in this article.

How To Properly Report Prolonged Services Using 99417 or G2212

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Prolonged Evaluation & Management codes underwent big changes in 2021, including the creation of a new prolonged code (99417), reportable only with codes 99205 or 99215. While Medicare has agreed to accept the AMA's CPT E/M coding changes, they have formulated an opinion contrary to how CPT calculates time specific ...

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April 14 2022 : Reporting Telemedicine Services by Aimee Wilcox

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