The evaluation and management (E/M) center provides an array of educational resources to assist you in coding E/M services. If you are new to E/M coding, please take time to review our E/M Coding Introduction.
Novitas Solutions utilizes both the 1995 and 1997 documentation guidelines for evaluation and management services when scoring E/M services. Novitas will utilize the guidelines that are most advantageous to the provider.
Please see below for a direct link to these guidelines and the specialty exam score sheets.
Learn about key changes to E/M services taking place in 2021, including recent and upcoming revisions impacting E/M coding and documentation guidelines.
CMS educational resources to guide and educate on the E/M process:
Novitas Solutions fills in the gaps in the E/M documentation by guiding you through the ambiguities. Below is a list of educational resources to guide and educate on the E/M process:
Novitas Solutions offers free training on E/M services. Meet us in person, talk to us on a teleconference, participate interactively via webinar, or take a self-paced, online course. You make the choice that fits your schedule!
CMS Evaluation and Management Services Web-Based Training course
Note: You will need a login and password to access the MLN Learning Management System. Once you have logged in, type 'Evaluation and Management Services' in the search box.
Novitas Solutions has the answers to your questions! Check out these FAQs for everything from basic to advanced E/M questions.
Score your medical records with these powerful tools:
Novitas Solutions has the following local coverage article related to E/M services:
Patients over Paperwork is an initiative focused on reducing administrative burden while improving care coordination, health outcomes and patients’ ability to make decisions about their own care.
E/M services are significant contributors to CERT error rates. Please visit our CERT web page for information related to the current errors and ways to avoid them.
The goal of the TPE program is to reduce provider burden by helping Medicare providers/suppliers quickly improve accuracy and reduce claim denials and appeals through increased one on one education. Please visit our TPE page for additional information on specific evaluation and management services TPE topics, education, and results.