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Evaluation and Management Guidelines Changes for 2021

 

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.

Agenda

Faculty

Carol Hoppe, CPC, CCS-P, CPC-I

Carol Hoppe, CPC, CCS-P, CPC-I

MedLucid Solutions, LLC

  • President and CEO of MedLucid Solutions, LLC, providing clear solutions for medical practices
  • Assists clients with all aspects of coding, billing, A/R and practice management for professional health care services, including chart reviews, education, practice assessments, practitioner shadowing, and interim management support
  • Conducts regular seminars and workshops on numerous topics, including E/M documentation guidelines, annual coding updates, and specialty specific coding sessions for clinicians and staff
  • Certified Professional Coder (CPC) and a Certified Professional Coding Instructor (CPC-I), American Academy of Professional Coders (AAPC); Certified Coding Specialist Physician Based (CCS-P), and American Health Information Management Association (AHIMA)
  • Taught medical billing and coding as an adjunct instructor at Sanford Brown College, Indianapolis; online adjunct instructor at Ultimate Medical Academy
  • Published author on articles related to billing, coding and A/R management
  • Current member of the WPS Medicare Part B J8 Provider Outreach and Education Advisory Group (POE AG)
  • Billing, coding and practice management representative for the Indiana State Medical Association
  • B.S.M. degree, summa cum laude, Indiana Wesleyan University
  • Can be contacted at 317-537-7553, [email protected], www.medlucidsolutions.com or on LinkedIn® and Facebook®

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