If you listen to the Centers for Medicare & Medicaid Services (CMS), the organization's plans to update evaluation and management (E/M) codes could simplify documentation and free up doctors’ time to ...

The American Medical Association (AMA) released updates to its medical codes for 2021 designed to align with a Medicare rule set to take effect in January. Last year, the AMA worked with the Centers ...

Along with a new year, January 1 will usher in watershed changes to the American Medical Association’s (AMA) “Current Procedure Terminology (CPT®) Evaluation and Management (E/M) Office or Other ...

Widely-used billing codes have been updated for 2024, including new ones for respiratory syncytial virus (RSV) vaccines and medications, and new Spanish translations. The American Medical Association ...

Evaluation and management (E/M) codes are among the major categories of codes that are frequently examined by third-party insurance auditors. Medicare auditors recently have seen many cases in which ...

Medical coding and billing is a fairly complex process and requires that those working in the medical office to have extensive training to ensure proper billing of the insurance company. Often ...

As previously reported in this post, criminal trials premised on upcoding evaluation and management (E/M) service codes are extremely rare. The Justice Department took that rare step in Maryland in ...

Physician advocacy groups are urging Cigna to withdraw a new reimbursement policy that would automatically downcode high-level E/M claims, arguing it undermines clinical judgment and creates an unfair ...

Though recovery audit contractors have been focusing on hospitals as the big fish, they have been auditing practices, too, and have even been scrutinizing E/M codes, according to Frank Cohen, a ...

Please provide your email address to receive an email when new articles are posted on . Brian Outland, PhD, director of regulatory affairs at ACP, discussed the recent changes in evaluation and ...