tci Part B Insider - 2005 Issue 40

EVALUATION & MANAGEMENT: Is Your E/M Coding Up To Par? Check CMS' Checklist

After three years, familiar faces are new againHeads up: The Centers for Medicare & Medicaid Services tweaked some of the rules for evaluation and management coding in a new transmittal (731), dated Oct. 28. For example, CMS clarified the definition of “new patient” for E/M coding. Experts say the policy hasn’t really changed, but CMS is explaining it differently, and it can provide a useful refresher course. According to CMS someone is a new patient if none of your physicians have seen her face-to-face in the past three years. In other words, if one of your physicians...

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