E/M Services: High Volume, High Risk | Webinar

E/M Services: high volume, high risk

Recorded October 19, 2023

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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:

1. Shared and incident to services,
2. Use of modifier 25 with a procedure,
3. Wellness and preventive services with a problem-oriented visit, and
4. Level of service.

This session will briefly review relevant CMS and CPT® rules and provide guidance for oversight for these areas

After the webinar, 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

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