Case management is a tactical and strategic profession governed by ever-changing regulations. Staying current with regulations is not something a case management leader can do casually or occasionally. The process requires thoughtfulness, broad thinking, and the ability to educate staff and to implement and audit process changes as they relate to new regulations.
This week's instructor's note addresses the coding implications of the proposed changes to E/M coding from the Medicare Physician Fee Schedule proposed rule.
CMS recently released new documentation guidance on medical review of E/M services performed by medical students. A medical student may document E/M services if the physician performs or re-performs the exam and then verifies the student’s documentation.
Payers rely heavily on the use of data and data analytics to manage their risk. Follow these tips for using payer guidelines to understand what they’re looking for and how to improve documentation.
