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  • Posting Date: 01/27/2022
    History

    As of 1/1/2023, CMS has eliminated prior specifications for documentation of a patient’s history for services provided in both the outpatient office and hospital setting, including the emergency department. The provider is expected to obtain [...]

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  • Posting Date: 02/21/2020
    IPPE and AWV Services

    IPPE and AWV Providers are reminded that the IPPE and AWV are Medicare-covered services within their own benefit category. As such, they are not subject to standard “incident to” billing guidelines and must be billed by the performing [...]

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  • Posting Date: 04/29/2021
    Medical Decision Making

    Medical Decision Making In a split/shared service, when a medical record includes a plan of care developed by the physician, based on a history and/or examination performed by the NPP and a personal review of diagnostic findings, [...]

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  • Posting Date: 01/27/2022
    New vs. Established Patients

    New vs. Established Patients How does CMS define a patient as “new” versus “established”? Answer: In 2023, the definition of a “new” patient differs based on whether the patient is being treated in an office or an observation/ inpatient [...]

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  • Posting Date: 10/26/2022
    Nonphysician Practitioner Services

    Nonphysician Practitioner Services In addition to the frequently asked questions below, please view NGS’ Nonphysician Practitioners-Reducing Costly Appeals; Increase Provider Revenue article for related information. Is it permissible for [...]

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  • Posting Date: 01/27/2022
    Observation Services

    Observation Services Please define guidelines for providers billing observation services. Answer: Observation services are ordered, performed and billed by the practitioner (or group), who is responsible for the patient’s care during the [...]

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  • Posting Date: 01/28/2022
    Preoperative Clearance

    Preoperative Clearance What requirements must be met for a preoperative clearance visit to be considered medically necessary and billable? Answer: CMS does not set requirements for medical clearance; these are established by individual [...]

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  • Posting Date: 04/01/2022
    Prolonged Services

    Prolonged Services Note: View NGS’ Prolonged Services Timetable for CPT codes and time requirements.  Please explain why time thresholds for some E/M services vary between AMA/CPT and CMS guidance. Answer: The CMS RVU RUC assessed [...]

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  • Posting Date: 01/28/2022
    Provider Specialty

    Provider Specialty Should each MD in the same practice bill with two different taxonomy codes based on whether functioning as a cardiologist or electrophysiologist? Answer: Yes, providers should be billing with their taxonomy codes. The [...]

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  • Posting Date: 12/18/2018
    Scribes

    Scribes When a physician or NPP performs a service that is documented by a scribe, what are the documentation requirements? Answer: As per CMS IOM Publication 100-08, Medicare Program Integrity Manual, Chapter 3, Section 3.3.2.4: “CMS [...]

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