The Centers for Medicare & Medicaid Services (CMS) has issued a reminder to providers concerning billing the correct level of service for evaluation and management (E/M).
CMS notes that a 2012 study report from the Office of the Inspector General indicated that a number of physicians increased their billing of higher level, more complex and expensive E/M codes. Many providers submit claims coded at a higher or lower level than the medical record documentation supports.
CMS advises providers to use the following resources to assist in their efforts to bill correctly for E/M services: