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Category Archives: Evaluation & Management: 2021 & Beyond

2021 E&M Documentation: 3 Reasons Your Providers Haven’t Adopted the New Guidelines

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASJuly 9, 2021

  July 9, 2021 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT   After 6 months of speaking to the 2021 AMA guidelines, many of you may be tired of talking about the new documentation guidelines. But the other half of us are frustrated at still seeing documentation come through that represents the mandated…

E/M 2021 Guidelines and the Importance of SDOH

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASJune 4, 2021

  June 4, 2021 | By Cheryl A. Cyrus, RHIT, CPMA, CDEO, CRC, Comforcehealth, Quality Assurance Auditor As of January 1, 2021, we have been given new Evaluation and Management Guidelines for Outpatient Office and Ambulatory services that encompass specific areas of risk defined in the SDOH (Social Determinants of Health).  As a Profee auditor,…

Use of “Time” in Evaluation Management and Coding

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASMay 14, 2021

  May 14, 2021 | By Jill Young, CPC, CEDC, CIMC The time has come for you to consider the “new time” method to determine the evaluation and management (E&M) coding for your office and other outpatient services. I use the phrase “new time” to differentiate it from the “old time” concept you are accustomed…

When Denials Attack: Outpatient E/M Services Denied with 2020 Rationale

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASApril 2, 2021

  April 2, 2021 | By J. Paul Spencer, CPC, COC We now collectively find ourselves one calendar quarter into the new frontier of 2021 outpatient E/M services. Since January 1, I have fielded many questions from my professional contacts regarding how best to look at the newly-engineered medical decision making (MDM) component. As might…

Clear At Last? AMA Releases Clarifications to 2021 E/M Guidelines

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASMarch 26, 2021

  March 26, 2021 | By Grant Huang, CPC, CPMA If you thought some of the language in the 2021 E/M guidelines was confusing, you’re not the only one: The AMA has gotten enough questions about its new guidelines to issue a six-page document packed with clarifications and corrections. The document also includes an additional three pages…

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