Find out what you must do to get significant, separately identifiable E/M services paid. The Cigna Group recently updated its reimbursement policy for modifier 25. Effective May 25, if you are billing this health insurance company for an evaluation and management (E/M) service and a minor procedure, you may need to do more than append […]
Providers today are stuck using outdated templates, leaving ample room for improvement. Let’s take a retrospective look at evaluation and management (E&M) services—examining what we had, what we have now, and what lies ahead. Before the implementation of the 2021 documentation guideline (DG) changes, many providers relied on templates built around outdated office-based documentation requirements […]
Major changes are found in the 2021 Evaluation and Management guidelines. As we enter the final quarter of 2020, I hope everyone is committed to being prepared for the 2021 evaluation and management (E&M) changes, because they’re locked in, and the focus going forward should be on education for coders, auditors, and providers. Many […]
Betsy Nicoletti, MS, a nationally recognized coding expert, will take your coding questions via email and provide guidance on how to code properly to maximize reimbursement. Have a question about coding? Send it here. In this column, Nicoletti outlines some key guidance for using telemedicine. These rules would apply during the Centers for Medicare & Medicaid […]