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Incident-to service guidelines

March 9, 2026
Medicare pays for services and supplies that are furnished incident to a physician’s or other practitioner’s services, are commonly included in the physician’s or practitioner’s bills, and for which payment is not made under a separate bene…

Revision to social determinants of health risk assessment (HCPCS code G0136)

March 25, 2026
CMS recently revised the code descriptor for HCPCS code G0136 to remove the social determinants of health risk (SDOH) assessment. The code remains on the Medicare telehealth services list. View this article for details on the new assessment…

First Coast’s E/M interactive worksheet updates: Verify your E/M code selection

December 23, 2025
Our E/M interactive worksheet has been upgraded to assist you with verifying proper code selection for office and “other” E/M visits for 2023 and beyond. Take a look.

Prolonged physician services: Home or residence visits

April 28, 2026
Learn more about billing Medicare for prolonged home or residence E/M services that exceed the maximum time by at least 15 minutes on the date of service.

Prolonged physician services: Office and other outpatient visits

March 3, 2026
Learn more about billing Medicare for prolonged office and other outpatient E/M services that exceed the maximum time by at least 15 minutes on the date of service.

Do not report more than one unit per date of service for E/M codes

December 23, 2025
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 service.

Critical care services

April 9, 2026
CMS updated guidelines for critical care services effective January 1, 2022. These updates were implemented, and address billing and coding processes.

Medicare requirements on documenting E/M services by teaching physicians

February 12, 2026
CMS has new guidelines for teaching physicians effective January 1, 2022. These updates were implemented February 15, and addressed services in certain primary care centers along with selection of office / outpatient time-based codes.

Split or shared E/M guidelines: Medicare Claims Processing Manual updates

March 30, 2026
This article summarizes the Medicare E/M guidelines for split or shared E/M services effective in 2024.

Nursing facility E/M services

January 15, 2026
Nursing facilities include skilled nursing facilities, psychiatric residential treatment centers, and immediate care facilities for individuals with intellectual disabilities.
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