CMS is aligning Evaluation and Management (E/M) coding with changes adopted by the American Medical Association’s (AMA) Current Procedural Terminology. Also effective on January 1, CMS in consolidating and increasing payment for the Medicare-specific and add-on code, HCPCS code GPC1X, for office/outpatient E/M visits for primary care and non-procedural specialty care into a single code describing the work associated with visits that are part of ongoing, comprehensive primary care and/or visits that are part of ongoing care related to a patient’s single, serious, or complex chronic condition.
Are you prepared for January 1, 2021?
E/M services are categorized into different settings depending on where the service is furnished. Examples of settings include:
- Office or another outpatient setting
- Hospital inpatient
- Emergency department
- Skilled nursing facility
Now that CMS and AMA have mandated you report your services in accordance with these changes, you must quickly learn and understand this new system. Do you know what to do and how to implement these changes? If not, contact us below.