Evaluation Management Procedures

Diabetes care: HbA1c > 9% (poor control)

What high A1C means, common steps in care, preparation, follow-up, and typical timelines for diabetes care when A1C is over 9%.

Comprehensive eye exam (new patient)

What to expect in a comprehensive eye exam for new patients: reasons, preparation, dilation, and typical follow-up.

Complex chronic care management – 60 min

What complex chronic care management (60 min) includes, who it helps, preparation, and typical follow-up.

Cognitive assessment and care plan

What to expect in a cognitive assessment and care plan visit, including reasons, preparation, what happens, and typical follow-up.

Domiciliary visit (established patient – moderate)

What to expect in a moderate domiciliary visit: reasons, preparation, what happens, and typical follow-up for established patients.

Domiciliary/rest home visit (high complexity)

What a high complexity domiciliary or rest home visit includes, why it is used, preparation, and typical follow-up.

Care plan oversight (home health – monthly)

What care plan oversight is for home health: purpose, preparation, coordination, and typical follow-up.

Comprehensive hearing test (diagnostic audiometry)

What to expect in a comprehensive hearing test: reasons, methods, preparation, typical timing, and follow-up.

Emergency department visit (Level 3)

What a Level 3 emergency department visit involves, why it is used, how to prepare, what to expect, and typical follow up.

Emergency department visit – moderate complexity (Level 4)

What to expect in a Level 4 emergency department visit: reasons, typical tests and treatments, preparation, and follow-up.

Emergency Dept Visit – High Severity

What to expect in a high severity emergency department visit: reasons, tests, preparation, and typical follow-up.

Home visit (New patient – moderate complexity)

What to expect in a moderate-complexity new patient home visit: reasons, preparation, what happens, and typical follow-up.

Home visit – new patient (low complexity)

What to expect in a low complexity new patient home visit: reasons, preparation, what happens, and typical follow-up.

Home visit – established patient (low complexity)

What to expect from a low complexity home visit for an established patient, including reasons, preparation, and typical follow-up.

Home Health Visit (skilled nurse)

What to expect in a skilled nurse home health visit: reasons, preparation, what happens, and typical follow-up.

High complexity home visit (established patient)

What to expect from a high complexity home visit for an established patient, including reasons, preparation, what happens, and follow-up.

Group health education (patient class)

What to expect from a group health education class: topics, who leads it, how to prepare, and typical follow-up.

Initial observation care (high complexity)

What initial observation care means, what happens, preparation, and typical follow-up for high complexity hospital observation.

Initial hospital inpatient visit (low complexity)

What to expect from an initial hospital inpatient visit: purpose, what happens, preparation, and typical follow-up during your stay.

Microvolt T-wave assessment (cardiac risk test)

Learn what a microvolt T-wave assessment is, why it is done, how to prepare, what happens during testing, and typical recovery.

Medication reconciliation completed (post-discharge)

What post-discharge medication reconciliation is, why it matters, how to prepare, and what to expect after the review.

Medical team conference (without patient)

How a medical team conference without the patient works, why it is used, and what to expect before and after.

Neonatal intensive care – initial day

What to expect during the first day of NICU care: reasons for admission, common tests and supports, family involvement, and next steps.

Physiologic data analysis (remote monitoring)

Overview of remote physiologic data analysis: what it is, why it is used, how to prepare, what happens, and typical follow-up.

Physician standby service (each 30 min)

What physician standby service means, when it is used, how it relates to your care and billing, and typical prep and follow-up.

Physical Exam (New patient – 40-60 years old)

What to expect at a new patient physical exam for adults 40-60: what happens, preparation, follow-up, and typical timing.

Pediatric critical care – initial 60 min

What the initial 60 minutes of pediatric critical care involves, where it occurs, common reasons, preparation, and typical next steps in the ICU.

Advance care planning discussion (30 min)

What to expect in a 30 minute advance care planning visit: reasons, preparation, topics covered, and typical follow-up.

Outpatient Clinic Visit (Hospital facility fee)

What a hospital facility fee is, how hospital outpatient clinic visits are billed, and what to expect before and after the visit.

Pacemaker remote monitoring (evaluation)

What pacemaker remote monitoring is, what it checks, how to prepare, and typical follow-up.

Online digital evaluation (patient portal consult)

What an online digital evaluation is, when it is used, how to prepare, what to expect, and typical follow-up for nonurgent issues.

Office visit – new patient (level 1)

What to expect in a level 1 new patient office visit: reasons, preparation, what happens, and typical follow-up.

Office consultation – low complexity

What to expect in a low complexity office consultation: reasons, preparation, what happens, and typical follow-up.

Observation care discharge day management

What to expect when leaving a hospital observation stay: review, medication changes, instructions, and follow-up planning.

Observation care discharge (same day)

What same-day observation discharge means, what to expect, preparation, follow-up, and typical recovery.

Prolonged office service (outpatient – 15 min add-on)

What a prolonged outpatient office service add-on means, when it is used, how time is counted, and what to expect before and after.

Prolonged inpatient service (first hour)

What a prolonged inpatient service (first hour) means during a hospital stay, why it is used, and what to expect.

Self-care/home management training (15 min)

What it is, what happens, and typical prep and follow-up for self-care and home management training in 15-minute therapy units.

Subsequent nursing facility care – high complexity

What a high complexity follow-up visit in a nursing facility involves, who provides it, preparation, and typical follow-up steps.

Subsequent nursing facility visit (high complexity)

What to expect during a high complexity nursing facility follow-up: reasons, preparation, visit steps, and typical follow-up.

Telehealth consultation (phone/video 11-20 min)

What to expect in a 11-20 min phone or video telehealth visit: reasons, preparation, what happens, and typical follow-up.

Telehealth Video Visit (15 min)

What to expect in a 15 minute telehealth video visit: reasons, preparation, what happens, and typical follow-up.

Telemedicine consult – initial (online evaluation)

What to expect from an initial telemedicine consult: reasons, preparation, how it works, and typical follow-up steps.

Telephone evaluation (brief 5-10 min call)

What to expect from a brief 5 to 10 minute telephone evaluation: reasons, prep, what happens, and typical follow-up.

Office Visit – Nurse/Minimal Service

What to expect in a brief nurse or minimal service visit, including common reasons, preparation, and typical follow-up.

Office Visit – New Patient (Moderate)

What to expect in a moderate new patient office visit: reasons, what happens, preparation, and typical follow-up.

Office Visit – New Patient (Low)

What to expect in a low complexity new patient visit: reasons, preparation, what happens, and typical follow-up.

Office Visit – New Patient (High Complexity)

What to expect in a high complexity new patient visit: reasons, preparation, what happens, and typical follow-up.

Office Visit – Established Patient (High Complexity)

What to expect in a high complexity established patient office visit: reasons, preparation, what happens, and typical follow-up.

Office Visit – Established Patient (Brief)

What to expect in a brief established patient office visit: reasons, preparation, what happens, and typical follow-up.

Office Visit – Established Patient (30 min)

What to expect in a 30 minute established patient visit: reasons, preparation, what happens, and typical follow-up.

Office Visit – Established Patient (15–20 min)

What to expect in a 15–20 minute established patient visit: reasons, preparation, what happens, and typical follow-up.

Hospital Inpatient Visit (Subsequent, Moderate)

What to expect from a moderate-complexity follow-up hospital visit: purpose, what happens, preparation, and typical next steps.

Hospital Inpatient Visit (Subsequent, High)

What to expect during a high-complexity subsequent hospital inpatient visit, including purpose, preparation, and typical follow-up.

Home Health Nursing Visit

What a home health nursing visit includes, why it is used, typical preparation, and follow-up.

Emergency Department Visit (Moderate Severity)

What to expect in a moderate severity emergency department visit: reasons, common tests, preparation, and typical follow-up.

Emergency Department Visit (Low/Moderate)

What to expect in a low or moderate complexity ER visit: reasons, tests, care team, preparation, and typical follow-up.

Emergency Department Visit (High Severity)

What to expect in a high severity ER visit: reasons, evaluation, tests, monitoring, and typical preparation and follow-up.

Comprehensive Eye Exam (Established Patient)

What to expect in a comprehensive eye exam for established patients: steps, dilation, preparation, and typical recovery.