E/M Review Checklist and Score Sheet Tool

Palmetto GBA is pleased to announce the expansion of the online Evaluation and Management (E/M) Checklist and Score Sheet Form options. Based on the Current Procedural Terminology (CPT), the tool can be used for services rendered to both new and established patients.

Identified by the Comprehensive Error Rate Testing (CERT) program as the main cause of Part B claim submission errors, E/M errors are now easy to avoid by using this revolutionary tool. Enter the data and let our E/M Checklist and Score Sheet Form guide you to the appropriate CPT code and the appropriate level of care procedure code when submitting claims. Please note: Use of these tools does not guarantee payment if the documentation does not support the code billed.

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Provider Contact Center: 888-355-9165

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TTY: 877-715-6397

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