Do not report more than one unit per date of service for E/M codes
Avoid claim rejects. If you bill E/M codes within the CPT code range 99202-99239, do not report more than one unit per date of...
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Nursing facility E/M services
Nursing facilities include skilled nursing facilities, psychiatric residential treatment centers, and immediate care facilities...
Cognitive assessment: Recommend Medicare-covered services for your patients
Your patients may tell you they’re having trouble remembering things, concentrating, or making everyday decisions. Their...
Part B fact sheet: Observation care services
Observation care is a well-defined set of specific, clinically appropriate services, which include ongoing short-term treatment...
Prolonged physician services: Home or residence visits
Learn more about billing Medicare for prolonged home or residence E/M services that exceed the maximum time by at least 15...
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...