tci Medicare Compliance & Reimbursement - 2017 Issue 22

E/M Coding: Master E/M Claims with Advice From Part B MACs

Could your payer be using the '4x4 method' to calculate your exam elements? Understanding the nuances of E/M visits can be tricky, especially with conflicting advice everywhere you turn. Most of the time, your best bet is to contact CMS or your Part B MAC directly to get the real scoop on how to bill these services. One Medicare Part B MAC, Novitas Solutions, recently made its E/M guidance public during the Nov. 2 teleconference, "New Patient Guidelines and Coding." Read on to discover five tips that will help you code these visits. Tip 1: Procedural Services Count...

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