Evaluation and management

Office and other outpatient evaluation and management (E/M) services describe encounters in which a physician or qualified health care professional (QHP) evaluates and manages a patient's health…

Inpatient hospital evaluation and management (E/M) services describe the physician or qualified healthcare professional work involved in evaluating and managing patients during a hospital stay.…

We have added information on physician billing for acute hospital care at home reporting place of service 21 paired with modifier 95.

We have added information on physician billing for acute hospital care at home reporting place of service 21 paired with modifier 95.

Correctly identifying patient types and services supports evaluation and management (E/M) code selection and Medicare billing compliance.

Correctly identifying patient types and services supports evaluation and management (E/M) code selection and Medicare billing compliance.

This is a central location to locate guidelines for a supervising physician in a teaching setting, including links to related CMS resources and references.

This is a central location to locate guidelines for a supervising physician in a teaching setting, including links to related CMS resources and references.

Care management services are covered under the Medicare program. View information regarding care management services, including links to related CMS resources and references.

CMS updated guidelines for critical care services effective January 1, 2022. These updates were implemented, and address billing and coding processes.