Awareness : Frequently Asked Questions

Medicare Outpatient Observation Notice

The Medicare Outpatient Observation Notice (MOON) is mandated by the Federal Notice of Observation Treatment and Implication for Care Eligibility Act (Notice Act).
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Evaluation and Management (E/M) FAQs-Documentation

Evaluation and management (E/M) services refer to visits furnished by physicians. Tips on key components and documentation required when performing different types and levels of evaluation and management (E/M) services.
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Evaluation and Management (E/M) FAQs-Key Component History

Evaluation and management (E/M) services refer to visits furnished by physicians. Tips on key components and documentation required when performing different types and levels of evaluation and management (E/M) services.
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Evaluation and Management (E/M) FAQs-Key Component Examination

Evaluation and management (E/M) services refer to visits furnished by physicians. Tips on key components and documentation required when performing different types and levels of evaluation and management (E/M) services.
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Evaluation and Management (E/M) FAQs-Key Component Medical Desicion Making

Evaluation and management (E/M) services refer to visits furnished by physicians. Tips on key components and documentation required when performing different types and levels of evaluation and management (E/M) services.
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Evaluation and Management (E/M) FAQs-Scenarios

Evaluation and management (E/M) services refer to visits furnished by physicians. Tips on key components and documentation required when performing different types and levels of evaluation and management (E/M) services.
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What is meant by merged records?

“Merged records” would indicate the tax identification and/or the provider identification numbers being used are the same, and thus, the entity is the same.
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Where can I find more information about evaluation and management?

More information regarding evaluation and management can be found on the First Coast Service Options website
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Where Are the Documentation Guidelines for a Face to Face Visit for a Shared Service?

Guidelines regarding split/shared visits can be found within the CMS Internet-only manual (IOM)
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What is considered “timely” for progress notes to be documented?

Progress notes contain statements related to the course of the patient’s illness and facilitate communication among team members.
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Are there standards for “timely documentation”?

The expectation is records are documented and signed within 24 hours after the services are rendered.
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Chronic Care Management Services

Care management is recognized as a critical component of primary care that improves patient health and reduces spending.
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