Health Information Management

Pay-per-view: Changes proposed for EAM

APCs Insider, September 6, 2013

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CMS has proposed a change to the Extended ­Assessment and Management Services (EAM) APCs for 2014. Currently, two EAM Composite APCs exist: APC 8002 and APC 8003.

Under the proposal, CMS would pay for the entire visit through the proposed new EAM Composite APC 8009 when observation care is provided and criteria are met. Since CMS has proposed to replace existing E/M codes with new G-codes, the new EAM will not specify a certain level of E/M, but rather just the presence of one of the visit G-codes, critical care, or direct referral G-code.

Continue reading Significant changes proposed for E/M coding on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the September issue.

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