E/M Services: high volume, high risk
Recorded October 19, 2023
Members login here to continue
According to CMS, E/M services comprise 40% of allowed charges in the physician fee schedule, 20% office visits and 20% other E/M services. Medicare’s expense is medical practice revenue, with the income from some primary care practices comprising 70% or more of total charges.
To protect the organization, compliance professionals can focus on four components of E/M:
- Shared and incident to services,
- Use of modifier 25 with a procedure,
- Wellness and preventive services with a problem-oriented visit, and
- Level of service.
This session will briefly review relevant CMS and CPT® rules and provide guidance for oversight for these areas.
After the session participants will be able to:
- Select which components of E/M are priorities for their medical groups
- Review shared and incident to services based on CMS rules
- Assess notes reported with a procedure and modifier 25 for compliance
Become a member and register for free (a $159 value!)
Membership includes access to all webinars (live and on-demand), our entire library of coding resources, AND, regular updates on coding changes that affect your practice.
*This program has the prior approval of AAPC for 1 continuing education credit. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
**Webinar access is limited to one connection per registration/membership. Your office staff can listen in via your computer's audio connection. Additional connections subject to additional fees. If purchasing on-demand, and CEUs are offered, they are only available to the purchaser.