tci Medicare Compliance & Reimbursement - 2021 Issue Q3

E/M Coding: Master ED E/M Rules With These Expert Tips

Warning: OIG just added ED E/M services to the Work Plan. The reporting rules for evaluation and management (E/M) services performed in an emergency department (ED) can be tricky. Not only does your documentation need to be stellar, but you need to know the nuances associated with time and patient status, too, which are different from other E/M service codes. Why? First, the HHS Office of Inspector General (OIG) recently added Medicare ED E/M services to its audit to-do list. The Work Plan addition is currently one of OIG’s hot topics on the agency’s “What’s...

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