Critical care services
CMS updated guidelines for critical care services effective January 1, 2022. These updates were implemented, and address billing...
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Split or shared E/M guidelines: Medicare Claims Processing Manual updates
This article summarizes the Medicare E/M guidelines for split or shared E/M services effective in 2024.
Revision to social determinants of health risk assessment (HCPCS code G0136)
CMS recently revised the code descriptor for HCPCS code G0136 to remove the social determinants of health risk (SDOH) assessment...
Prolonged physician services: Hospital inpatient or observation care services
Learn more about billing Medicare for prolonged hospital inpatient or observation care E/M services exceeding the maximum time...
Cognitive assessment and care plan services
If your patient shows signs of cognitive impairment during a routine visit, Medicare covers a separate visit to more thoroughly...
Incident-to service guidelines
Medicare pays for services and supplies that are furnished incident to a physician’s or other practitioner’s services, are...
Incident-to services
This is a central location for incident-to services information, including links to related CMS resources and references...
Prolonged physician services: Office and other outpatient visits
Learn more about billing Medicare for prolonged office and other outpatient E/M services that exceed the maximum time by at...
Care management services
Care management services are covered under the Medicare program. View information regarding care management services, including...