tci Medicare Compliance & Reimbursement - 2017 Issue 20

Compliance: NGS Steps Back Its E/M Exam Policy Change Decision

Planned EPF and detailed exams updates are no longer considered mandatory. In a surprising reversal from its earlier decision out this summer, the Medicare Administrative Contractor National Government Services (NGS) rescinded its policy change regarding evaluation and management (E/M) expectations for expanded problem-focused and detailed exams. Update: NGS announced its planned change to expanded problem-focused and detailed exam requirements will no longer be considered mandatory for physicians. "In my opinion, although the detailed exam representing six to seven body areas or organ systems is no longer mandatory, I suggest practices under NGS still follow this because it has less...

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