What E&M guidelines does CGI base their audits on?
CGI is not currently reviewing E&M codes, however, the review of all evaluation and management (E & M) services will be allowed under the RAC program. The review of duplicate claims or E & M services that should be included in a global surgery will be available for review consistent with current Medicare policy. CMS continues to work closely with the American Medical Association and the physician community prior to any reviews being completed regarding the level of the visit and will provide notice to the physician community before the RACs are allowed to begin reviews of evaluation and management (E & M) services and the level of the visit.
