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Better late than never: CMS released a new version of its Evaluation and Management Services Guide on Aug. 29.
 
The AMA’s May 25 webinar focused on the changes to the E/M code set that went into effect Jan. 1, 2023. But in addition to a detailed review of the new coding guidelines, related technical corrections and four case studies, the co-chairs of the AMA's CPT/RUC Workgroup on E/M gave attendees a glimpse into the future of the E/M code set.
The payer will activate a new policy to require prepayment review for E/M codes billed with modifier 25.
Your providers will find it easier to hit the required time for a prolonged inpatient or observation visit and you’ll find it easier to keep track of threshold times, thanks to a correction to the final 2023 Medicare physician fee schedule.
 
You can assign two data points when a provider orders and interprets a test, and count documents from an appropriate source toward data review, according to a technical correction to the 2023 CPT manual. A second update from the AMA contains a brief preview of revisions that wil hit next year.
 

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