by Evan Gwilliam | May 1, 2025 | Billing, Revenue Cycle Management
Evaluation and management code selection should be based on time or medical decision making (MDM). MDM is a bit more involved than time, but can be quantified and supported with clear documentation, making it a very defensible option. E/M code selection based on...
by Evan Gwilliam | Apr 24, 2025 | Billing, Revenue Cycle Management
Per the evaluation and management (E/M) guideline changes of 2021, codes may be selected based on time alone. This is a big departure from the way time was used, as a infrequent option, in the past. In many ways it creates a very straightforward way for providers to...
by Evan Gwilliam | Apr 17, 2025 | Billing, Revenue Cycle Management
Evaluation and management (E/M) coding changed dramatically in 2021 when the three key components of history, exam, and medical decision making, were replaced/modified. Instead codes were to be selected by either time or medical decision making. The history and the...
by Evan Gwilliam | Apr 10, 2025 | Billing, Revenue Cycle Management
Evaluation and Management (E/M) procedure codes are the most widely used CPT codes in all of healthcare in the United States. There are several categories of codes for different circumstances, from hospital care, to nursing facilities, telemedicine, and even...
by Evan Gwilliam | Nov 10, 2024 | Compliance
The Office of the Inspector General (OIG), which is part of the Department of Health and Human Services (HHS), is an agency that works to prevent fraud, waste, and abuse (FWA) in government programs. It focuses on Medicare and Medicaid, as well as about...
