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Category Archives: Evaluation & Management: 2021 & Beyond

Understanding MDM in 2021 – Part 1

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASSeptember 4, 2020

September 4, 2020 | By Brenda Edwards, CPC, CDEO, CPB, CPC-I, CEMC, CRC, CMRS, CMCS Is anybody not aware of the Evaluation and Management (E/M) changes coming in January 2021? Have you asked your administrator, managers, front office, back office, and providers if they are ready for these major changes? Anybody that touches CPT® 99202-99215…

As we begin to mourn the loss…

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASAugust 14, 2020

  August 15, 2020 | By Shannon DeConda, CPC, CPC-1, CPMA, CEMC, CMSCS As we migrate to the new AMA CPT Guidelines for Outpatient Office E&M visits, we mourn the loss of what has been our cozy wearing of the 1995 & 1997 Documentation Guidelines. Out of sentimental respect for the Documentation Guidelines for E&M…

The Truth about 2021 E/M Changes

E/M Coding & Auditing, Evaluation & Management: 2021 & Beyond, Payer RulesBy NAMASJuly 24, 2020

  July 24, 2020 | By Sean Weiss, CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC Here we are, nearly at the end of July 2020 and we are neck deep in the process of trying to determine the true impact of the 2021 Evaluation and Management (E&M) Services changes. Here’s the deal from my perspective:…

Medical Necessity, Medical Decision Making, and 2021 E&M Changes

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASJuly 17, 2020

  July 17, 2020 | By Pam Vanderbilt, CPC, CPMA, CPPM, CPC-I, CEMC, CEMA, CEMA-O By now everyone has heard that we will no longer have to score history and exam components to determine an E&M code level for the office/outpatient CPT codes 99202-99215, beginning January 1, 2021. Instead, we will use new methods for…

Whither History and Examination? Building the Future of EHR Documentation

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASJuly 10, 2020

  July 10, 2020 | By Paul Spencer, CPC, COC   Regular readers of this unique space in the auditing universe have more than likely begun to prepare for 2021 outpatient E/M changes. These planned adaptations have focused mainly on documentation regarding medical decision making, as well as the total time element that is fundamental…

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