These new coding capabilities will address some of the most common sources of claim denials and revenue loss, Suki said. By ...

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 ...

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 ...

Independent practices say new reimbursement algorithms from Aetna and Cigna are cutting payments and creating major ...

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 ...

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 ...

Medical school curriculum is heavy in anatomy, physiology, biochemistry, pathology, and clinical rotations or clerkships. There is very little, if any, instruction on proper coding and billing for ...

Knowledge of E/M coding and documentation is essential in order to 1) correctly bill and obtain reimbursement for the work you do; and 2) avoid legal ramifications of audits for improperly documented ...

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 ...

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 ...