Effective January 1st, 2021, the Centers for Medicare & Medicaid Services (CMS) Evaluation and Management (E&M) coding and documentation requirements have been changed. While some of the items remain the same, some of the items to keep in mind include:
The general principles of the Evaluation and Management visits are based on documentation and consistency of the documents with patient coverage and the services provided.
Consistency with patient coverage as it regards to:
Note: Remember that in order to be reimbursed for E&M services, the provider must be licensed in the state and the services performed must be within the scope of the license and covered by the respective Payor.
For more information visit the EPI Conference website and search for CMS E&M Guidelines.