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: Review of Systems - 'All Others Negative'E/M Weekly Tip: Counseling/Coordination Office SettingE/M Weekly Tip: Drugs Requiring Intensive Monitoring (Insulin Drip)E/M Weekly Tip: 1995 Comprehensive ExaminationE/M Weekly Tip: General DocumentationE/M Weekly Tip: History Component TypesE/M Weekly Tip: Risk of Significant Complications, Morbidity and/or Mortality (Risk Assessment)E/M Weekly Tip: Drugs Requiring Intensive Monitoring (Coumadin)E/M Weekly Tip: Cloning - Chief Complaint (CC), History of Present Illness (HPI), Review of Systems (ROS) and ExaminationE/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: History Component - Interval HistoryE/M Weekly Tip: History Component 'Unable to Obtain'E/M Weekly Tip: History Component - Status of Three Chronic/Inactive ConditionsE/M Weekly Tip: Laboratory, Radiology and Other Diagnostic Test FindingsE/M Weekly Tip: Completing DocumentationE/M Weekly Tip: Drug Therapy Requiring Intensive Monitoring (Table of Risk)E/M Weekly Tip: Prolonged Care Time RequirementE/M Weekly Tip: Medical NecessityE/M Weekly Tip: An E/M on the Same Day as PsychotherapyE/M Weekly Tip: Medical Decision-Making - ComplexityE/M Weekly Tip: Documentation Requirements for Teaching PhysiciansE/M Weekly Tip: Separate Elements of the HistoryE/M Weekly Tip: Type of Data-Pulse OximetryE/M Weekly Tip: Injections and InfusionsE/M Weekly Tip: Medical Necessity and Reasonable/NecessaryE/M Weekly Tip: History of Present Illness (HPI) - Negative Findings/ComplaintsE/M Weekly Tip: Documentation of Prolonged CareE/M Weekly Tip: Counseling/Coordination Documentation RequirementsE/M Weekly Tip: New Patient CodesE/M Weekly Tip: Diagnosis and Management OptionsE/M Weekly Tip: Documentation Provided by StudentsE/M Weekly Tip: History Component - Use of DiagnosesE/M Weekly Tip: Unable to Obtain (Examination)E/M Weekly Tip: ExaminationE/M Weekly Tip: History Component - History of Present IllnessE/M Weekly Tip: Examination Component - Abnormal FindingsE/M Weekly Tip: Counseling and/or Coordination of CareE/M Weekly Tip: History of Present Illness (HPI) - Multiple ComplaintsE/M Weekly Tip: Review of Old Records and Past, Family and Social History (PFSH) from OthersE/M Weekly Tip: Hospital and Nursing Facility Discharge Services as They Relate to TimeE/M Weekly Tip: Discharge Services - Date of ServiceE/M Weekly Tip: History Component - Chief Complaint Use of 'Follow-Up'E/M Weekly Tip: Discharge Services - Patient ExpiredE/M Weekly Tip: Chief ComplaintE/M Weekly Tip: CloningE/M Weekly Tip: 1995 Examination (Combining)E/M Weekly Tip: Significant, Separately Identifiable Evaluation and Management ServiceE/M Weekly Tip: Combined BillingE/M Weekly Tip: Double DippingMACtoberfest: Things They Are A'changin' - January 2021 WebinarTransitional Care Management ServicesSelection of Level of E/M Service Based on Duration of Coordination of Care and/or CounselingEvaluation and Management Services: Principles of Medical Record DocumentationNew Patient Office Visits ModuleNew Patient E/M EditEvaluation and Management (E/M) Coding Reminder: Group PracticesAdvanced Care Planning: CPT CodesMedical Decision-Making ComponentEvaluation and Management (E/M) Services in the Domiciliary or Rest Home EnvironmentManagement Options: Drug Therapy Requiring Intensive Monitoring for ToxicitySubsequent Hospital CareExamination Component of 1995 and 1997 Documentation GuidelinesPsychotherapy ServicesNursing Facility ServicesScribesTeaching Physician Documentation in the Era of Electronic Medical Records (EMR)New Patient Evaluation and Management Codes: Correct Claim SubmissionE/M Comparative Billing Reports: Peer Code ComparisonMedical 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 EncounterSurgical DebridementMedicare 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