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E/M (Evaluation and management)

Modified: 10/22/2020
Telehealth services are becoming essential to Medicare patients due to the coronavirus (COVID-19). View the following resources to learn more about these benefits.
Modified: 10/7/2020
On January 1, 2015, the Centers for Medicare & Medicaid Services (CMS) created Current Procedural Terminology® (CPT®) code 99490 for chronic care management (CCM). First Coast’s data analysis reveals providers improperly bill this service. In response, First Coast encourages you to review this Medicare Learning Network® (MLN®) fact sheet detailing the CCM guidelines to help you avoid improper payment for CCM services not meeting the guidelines. [MLN ICN 909188]
Modified: 10/1/2020
Learn how to take advantage of the features of our exclusive E/M interactive worksheet and find the code that best represents the level of evaluation and management services (E/M) furnished during a patient’s visit.
Modified: 9/24/2020
Tips on key components and documentation required when performing different types and levels of evaluation and management (E/M) services.
Modified: 9/24/2020
This is an interactive exercise that will test your evaluation and management coding skills. You will review a scenario and then use the E/M interactive worksheet to assist you with answering questions to test your expertise.
Modified: 8/26/2020
Recent medical review findings indicate incorrect billing of wound care codes and evaluation and management (E/M) codes on the same date of service.
Modified: 8/20/2020
Recent findings indicate uncertainty within the provider community regarding proper documentation and coding of observation care services.
Modified: 8/15/2020
Data indicates many providers are not properly submitting hospital discharge day management codes. Review this article for tips on proper code submissions.
Modified: 7/21/2020
During the COVID-19 public health emergency, CMS has expanded the Medicare telehealth services and are allowing previously non-covered telephone-only services to be billed. This article discusses the newly approved services and how to bill them to Medicare.
Modified: 7/6/2020
This checklist is an aid to assist providers when responding to medical record documentation requests pertaining to evaluation and management services.
Modified: 5/6/2020
As of July 1, 2017, practitioners in Florida are required to report post-operative evaluation and management (E/M) visits using Current Procedural Terminology® (CPT®) code 99024 if they practice in a group of ten or more practitioners and provide global services under one of the required surgical procedure codes. Find more information in these CMS FAQs.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.