Evaluation and Management (EM)

Published 01/31/2022

Access these helpful resources for more information about evaluation and management (E/M) services.

The CY2022 CMS guidance regarding Split/Shared, Critical Care and other services is located in the following CMS publications:

Palmetto GBA is in the process of updating our web education related to these services based on the CMS guidelines and will notify our provider community through the jurisdictional websites and our Email Updates messaging. Please review the articles above for full details.

E/M Weekly Tip: Double DippingE/M Weekly Tip: Diagnosis and Management OptionsE/M Weekly Tip: Review of Systems - 'All Others Negative'E/M Weekly Tip: 1995 Comprehensive ExaminationE/M Weekly Tip: History of Present Illness (HPI) - Negative Findings/ComplaintsE/M Weekly Tip: History Component TypesE/M Weekly Tip: Discharge Services - Patient ExpiredE/M Weekly Tip: History Component - History of Present IllnessE/M Weekly Tip: General DocumentationE/M Weekly Tip: Drug Therapy Requiring Intensive Monitoring (Table of Risk)E/M Weekly Tip: Separate Elements of the HistoryE/M Weekly Tip: Cloning - Chief Complaint (CC), History of Present Illness (HPI), Review of Systems (ROS) and ExaminationE/M Weekly Tip: Laboratory, Radiology and Other Diagnostic Test FindingsE/M Weekly Tip: CloningE/M Weekly Tip: History Component - Chief Complaint Use of 'Follow-Up'E/M Weekly Tip: History Component - Use of DiagnosesE/M Weekly Tip: Significant, Separately Identifiable Evaluation and Management ServiceE/M Weekly Tip: Medical NecessityE/M Weekly Tip: Drugs Requiring Intensive Monitoring (Coumadin)E/M Weekly Tip: Documentation Provided by StudentsE/M Weekly Tip: Counseling/Coordination Documentation RequirementsE/M Weekly Tip: Completing DocumentationE/M Weekly Tip: Medical Necessity and Reasonable/NecessaryE/M Weekly Tip: Type of Data-Pulse OximetryE/M Weekly Tip: Billing Observation or Inpatient Care Services (Including Admission and Discharge Services)E/M Weekly Tip: Diagnosis and Management Options - New ProblemE/M Weekly Tip: New Patient CodesE/M Weekly Tip: Combined BillingE/M Weekly Tip: ExaminationE/M Weekly Tip: Counseling and/or Coordination of CareE/M Weekly Tip: Documentation Requirements for Teaching PhysiciansE/M Weekly Tip: Prolonged Care Time RequirementE/M Weekly Tip: Documentation of Prolonged CareE/M Weekly Tip: Examination Component - Abnormal FindingsE/M Weekly Tip: History Component - Interval HistoryE/M Weekly Tip: Discharge Services - Date of ServiceE/M Weekly Tip: Injections and InfusionsE/M Weekly Tip: History Component 'Unable to Obtain'E/M Weekly Tip: Drugs Requiring Intensive Monitoring (Insulin Drip)E/M Weekly Tip: Medical Decision-Making - ComplexityE/M Weekly Tip: Review of Old Records and Past, Family and Social History (PFSH) from OthersE/M Weekly Tip: 1995 Examination (Combining)E/M Weekly Tip: Unable to Obtain (Examination)E/M Weekly Tip: Counseling/Coordination Office SettingE/M Weekly Tip: Hospital and Nursing Facility Discharge Services as They Relate to TimeE/M Weekly Tip: History of Present Illness (HPI) - Multiple ComplaintsE/M Weekly Tip: An E/M on the Same Day as PsychotherapyE/M Weekly Tip: Risk of Significant Complications, Morbidity and/or Mortality (Risk Assessment)E/M Weekly Tip: Chief ComplaintMACtoberfest: Things They Are A'changin' - January 2021 WebinarE/M Comparative Billing Reports: Peer Code ComparisonTransitional Care Management ServicesManagement Options: Drug Therapy Requiring Intensive Monitoring for ToxicityScribesNew Patient Evaluation and Management Codes: Correct Claim SubmissionAdvanced Care Planning: CPT CodesEvaluation and Management (E/M) Coding Reminder: Group PracticesSubsequent Hospital CareMedical Decision-Making ComponentNews You Can Use: New Patient Office VisitsEvaluation and Management Services: Principles of Medical Record DocumentationTeaching Physician Documentation in the Era of Electronic Medical Records (EMR)Selection of Level of E/M Service Based on Duration of Coordination of Care and/or CounselingExamination Component of 1995 and 1997 Documentation GuidelinesEvaluation and Management (E/M) Services in the Domiciliary or Rest Home EnvironmentNursing Facility ServicesPsychotherapy ServicesMedical Record CloningEvaluation and Management Services Guide, CMS MLN ProductGeneral Ophthalmological Services vs. Evaluation and Management (E/M) CodesE/M Weekly Tip: Review of Systems; and Past, Family and Social History - Obtained During an Earlier EncounterMedicare Overpayments for Chronic Care Management ServicesE/M Weekly Tip: Emergency Department ConsultationsInitial Hospital Services Procedural CodesNew Patient Visits by the Same Physician or Physician GroupCY2022 CMS guidance regarding Split/Shared, Critical Care and Other ServicesTeaching Physician Services: 2022 ChangesPhysician Assistant (PA) Billing and Payment UpdatesSplit/Shared Evaluation and Management VisitsCritical Care Services: Implementation February 15, 2022