Encore: OB/GYN Evaluation and Management and Preventive Services

This webinar was held on 7/18/2024.

Data analysis shows E/M and preventive service represent many claims submitted by specialty 16 – Obstetrics/Gynecology (OB/GYN). This education will include the following:
• An overview of E/M requirements
• Correct billing of the new procedure code 99459
• An overview of common preventive services
• An overview of the new Health Equity services
• The add-on complexity code G2211
While the information is specific to the OB/GYN specialty, other provider specialties can also benefit.

Resources:
Social Security Act 1862(a)(1)(A) https://www.ssa.gov/OP_Home/ssact/tit...

AMA CPT® Evaluation and Management (E/M) Code and Guideline Changes https://www.ama-assn.org/system/files...

CPT E/M 2023: Advancing landmark updates across more settings of care https://www.ama-assn.org/system/files...

CMS Internet-Only Manual, Publication 100-04, Medicare Claims Processing Manual, Chapter 12, Physicians/Non-Physician Practitioners, Section 30.6 and Section 100 https://www.cms.gov/regulations-and-g...

CMS MLN006764 Evaluation and Management Services https://www.cms.gov/outreach-and-educ...

MLN13473 How to Use the Office & Outpatient Evaluation and Management Visit Complexity Add-on Code G2211 https://www.cms.gov/files/document/mm...

MLN13272 Edits to Prevent Payment of G2211 with Office/Outpatient Evaluation and Management Visit and Modifier 25 https://www.cms.gov/files/document/mm...

NCD 210.2 - Screening Pap Smears and Pelvic Examinations for Early Detection of Cervical or Vaginal Cancer https://www.cms.gov/medicare-coverage...
MLN006559 – Preventive Services https://www.cms.gov/Medicare/Preventi...

MLN9201074 Health Equity Services in the 2024 Physician Fee Schedule Final Rule https://www.cms.gov/files/document/ml...

MLN Medicare Wellness Visits https://www.cms.gov/Outreach-and-Educ...

MLN13452 Medicare Physician Fee Schedule Final Rule https://www.cms.gov/files/document/mm...

Summary: CY 2024
NCCI Procedure to Procedure Edits https://www.cms.gov/medicare/coding-b...

MLN006398 Information for Rural Health Clinics https://www.cms.gov/files/document/ml...

MLN006397 Information for Federally Qualified Health Centers https://www.cms.gov/files/document/ml...

Modifier 25 Fact Sheet https://med.wpsgha.com/guides-resourc...

Chapters
00:00 Intro
04:07 Choosing your level of service
34:40 Add-on complexity
49:00 Pap smear
51:19 Questions
55:24 Closing comments