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Evaluation and Management Coding Guidelines for 2021

OnDemand Webinar (92 minutes)

Stay up to date on the new coding and documentation guidelines with new definitions and add-on codes.Since the mid-1990s, physicians and advanced practice providers have been coding for evaluation and management (E/M) services based on three key components: history, exam and medical decision making (MDM). Time could also be a factor when greater than 50% was spent in counseling and/or coordination of care. These guidelines, especially with regard to MDM, have been vague and interpreted in various ways over the last 25 years. The Patients Over Paperwork Act initiated a new set of E/M guidelines for the outpatient setting that will become effective on January 1, 2021. This information will prepare you for the upcoming changes with important new definitions created by the American Medical Association (AMA) and adopted by the Center for Medicare and Medicaid Services (CMS). During this topic, learn how time and medical decision making have been updated to reflect what promises to be more efficient for documenting E/M services in the outpatient setting. You will receive helpful hints and tools to help during the transition to the new coding and documentation guidelines.

Authors

Carol Hoppe, CPC, CCS-P, CPC-I, MedLucid Solutions, LLC

Agenda

What's Changing

• Codes 99202-99205 and 99212-99215

• Coding Based on Time or Medical Decision Making

• Revised wRVUs

New Definitions

• Time

• Medical Decision Making

- Problems

- Data

- Risk

Add-On Codes

• Primary Care and Non-Procedural Specialty Care

• Prolonged Services