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 […]

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 […]

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 […]

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 […]

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 […]

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. […]

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 […]

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 […]

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 […]

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 […]

There has been an outcry about the proposed E/M changes CMS recently brought to the industry for comment. Let’s take a close look at what CMS proposes: Lifting restrictions on […]

By now, you’ve undoubtedly seen the CMS proposal to overhaul the E/M documentation and coding guidelines for new and established office visits, along with consolidated payments. There are articles and […]