Inside Angle

From 3M Health Information Systems

Tag: E/M coding

E/M Final Rule: What your organization needs to do now

August 16th, 2019 / By Karla VonEschen, CPC

Can you feel change in the air? Not only is fall just around the corner, but so is the CMS change to E/M documentation and payment. By now, most of […]

CMS and AMA: 2021 proposed changes to E/M outpatient services

August 14th, 2019 / By Barbara Aubry, RN

For those involved in coding and compliance, this is not the first time attempted changes to E/M rules have been proposed. Remember 1995 and 1997? Of course, I’m way too […]

E/M codes: AMA keeps pace with CMS

May 24th, 2019 / By Rebecca Caux-Harry

In March, the American Medical Association (AMA) published their CPT Editorial Summary of Panel Action February 2019.  The summary warns that final CPT codes and descriptors are still in draft […]

National guideline changes for ED E/M coding due by 2022

March 18th, 2019 / By Barbara Aubry, RN

According to a March 7, 2019 article in Modern Healthcare, the Medicare Payment Advisory Commission (MedPAC) has decided to recommend that HHS revisit the national ED coding rules by 2022, citing […]

Implementing CMS rule for 2019 – Evaluation and Management guidelines

February 15th, 2019 / By Jean Jones, CPC

One of the things that makes Tom Brady a great quarterback is his ability to think downfield. He’s not just thinking about the current play, but considering all the plays […]

Physician billing guidelines are counter-productive. Will the new CMS rule make things worse?

January 18th, 2019 / By L. Gordon Moore, MD

In a Health Affairs blog and an Inside Angle podcast discussion, the health policy expert, physician and self-styled contrarian, Bob Berenson explains why the Evaluation and Management (E/M) coding guidelines […]

Podcast Episode Transcript: Physician payment and performance measurement: Is it fair?

With L. Gordon Moore, MD

Gordon Moore: Welcome to the Inside Angle Podcast. This is Gordon Moore, your host. And today, I’m speaking with Robert Berenson. He is a physician who joined the Urban Institute […]

Revisiting modifier 25

January 16th, 2019 / By Rebecca Caux-Harry

Since the Final Rule for 2019 averted the threat of reduced payment for professional services concerning the -25 modifier, I thought revisiting this troublesome modifier would be a good idea. […]

CMS clarifies the CC & ROS documentation changes for E/M services for 2019

December 19th, 2018 / By Barbara Aubry, RN

Yesterday, I saw a new release from CMS clarifying documentation requirements for E/M services in 2019. Little has changed about the data that needs to be collected, but there has […]

A look back at popular blogs of 2018

December 17th, 2018

Thank you to all the readers of the Inside Angle blog! As we look ahead to 2019, here are some of our most popular blogs of the year:    “CPT […]

CMS finalizes E/M changes in its “Dear Clinician” letter

November 12th, 2018 / By Barbara Aubry, RN

On November 8, 2018 CMS released its Dear Clinician letter providing final decisions on the proposed Evaluation and Management coding changes discussed in a previous blog. The letter is a […]

Evaluation and management has come full circle

October 31st, 2018 / By Jean Jones, CPC

I have been in the highly regulated healthcare industry for all my adult life—27 years to be exact. Part of what I love about being in health care is the […]