Tag Archives: Evaluation and Management Services

HHS has issued its 2012 OIG Work Plan. Following are some particular areas of concern for physicians:  Physician-Owned Distributors of Spinal Implants: OIG will determine the extent to which physician-owned distributors (PODs) provide spinal implants purchased by hospitals and whether PODs are associated with high use of spinal implants. The Work Plan notes that Congress has expressed concern … Continue Reading

CMS Revises Claims Processing Manual to Eliminate Consultation Codes

Effective January 1, 2010, CPT Consultation Codes ranges 99241-99245 and 99251-99255 will no longer be recognized for Medicare Part B Payment. For services furnished after January 1, 2010, physicians and non-physician practitioners should code patient evaluation and management visits with E/M codes that represent where the visit occurs and identifies the complexity. CMS has published MLN Matters … Continue Reading