Fredrikson Healthcare Consulting, Ltd.

NEWS FLASH: Did you know? Upcoming NGS Changes for E/M Services
April 2017

National Government Services (NGS), the Part B Medicare carrier for Minnesota and Wisconsin, has announced a change to their E/M exam requirements that will be effective 7/1/17.

This change will affect both the Expanded Problem-focused (EPF) and Detailed exam requirements, with a stated purpose to “eliminate confusion.” It is true that the EPF and Detailed exams have somewhat vague descriptions both in the CPT manual and the official CMS E/M Documentation Guidelines, but it remains to be seen how their new requirements will be received by the provider community.

Barring any last-minute delay or further changes, NGS is now proposing that the EPF exam be defined as “2-5 body areas or organ systems” and the Detailed exam as “6-7 body areas or organ systems.” Hopefully there will be further information from NGS as we get closer to the effective date.

For more information on how FHC can help with your E/M coding and documentation reviews, please contact Charla Mailey at (612) 752-2607.

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