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2023 reveals the significant differences in how CPT @ and CMS count time in relation to Evaluation and Management (E/M) services. Both organizations are holding their ground, at least for this year, which creates unique problems for practices that use both the prolonged care add on codes for E/M services and Critical Care services.
The 2023 Physician Fee Schedule Final Rule discusses CMS’ position on their changes to prolonged care and E/M services. This is precipitated by the AMA’s changes to E/M codes (other than Office and Other Outpatient services). The 2023 PFS final rule also has a “technical correction” regarding Critical Care. This concerns when the 99292 add on code can be assigned and an error that was found in the 2022 PFS Final rule
CMS has created their own add on codes, temporary G codes, for prolonged care services. Understanding what the differences are, understanding how code selection differs because of this and suggestions of different ways your practice can be sure the correct code and number of units of that code are assigned are all a part of this webinar.
Assigning proper codes when working with time based E/M codes requires an understanding of the rules of both CPT and CMS – both will be provided with references
Documentation for time based codes is essential for compliant coding – what carriers have published on this topic will be presented
Medical Necessity is still the overarching criterion for payment of E/M services – what does this mean for time based codes and documentation
Who Should Attend
Coders, Billers, Auditors, Office Managers, Practice Managers
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