by Shea Lunt | Dec 9, 2025 | All Posts
A recent OIG audit found that a Medicare Administrative Contractor (MAC) paid physicians for anesthesia services administered during facet joint injection sessions—even when documentation did not support medical necessity. The report estimates Medicare could have...
by Shea Lunt | Oct 2, 2025 | All Posts
As of October 1, 2025, the much-talked-about Medicare telehealth flexibilities are no more. With Congress failing to pass a FY 2026 spending bill, the government shutdown triggered a snap rollback to the restrictive pre-pandemic rules for Medicare. That means:...
by Shea Lunt | Aug 29, 2025 | All Posts
When providers document Prescription Drug Management in an evaluation and management (E/M) service, the assumption is often that a prescription refill counts as “risk.” The reality is more complicated. Medicare Administrative Contractors (MACs) each define it...
by Shea Lunt | Jul 17, 2025 | Webinar Q&As
This page addresses follow-up questions and additional information pertinent to our webinar E/M Coding Essentials: Navigating Inpatient and Outpatient Consultations. ** The coding information and guidance are valid at the time of publishing. Learners are encouraged to...
by Shea Lunt | Jun 30, 2025 | Uncategorized
A consultation is an evaluation and management (E/M) service provided at the request of another physician or qualified healthcare professional to offer an opinion or advice about a specific problem. To bill a consult, documentation must include: A documented request...
