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Category Archives: E/M Coding & Auditing

The devil is in the data: A detailed look at MDM changes for 2021

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASSeptember 25, 2020

  September 25, 2020 | By Grant Huang, CPC, CPMA With two key components of E/M level selection – the history and physical exam – being eliminated as factors for choosing a code level, medical decision making (MDM) will take center stage in 2021. As we begin the final quarter of 2020, coders and auditors…

Understanding MDM in 2021 – Part 3: The Sky is Falling!

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASSeptember 18, 2020

  September 18, 2020 | By Pam Vanderbilt, CPC, CPMA, CPPM, CPC-I, CEMC, CEMA, CEMA-O One of my favorite bedtime stories, when I was younger, was Chicken Little. Part of the reason it is a favorite is because I remember my father’s voice and facial expressions when Chicken Little exclaimed “The sky is falling! The…

Understanding MDM in 2021 — Part 2: Ready for Launch?

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASSeptember 11, 2020

  September 11, 2020 | By Shannon DeConda, CPC, CPC-1, CPMA, CEMC, CMSCS Living in the “Florida’s Space Coast” we are quite attuned to hearing launch references- and we can certainly relate as we wind down to the 3-2-1 months before the new AMA E&M Guidelines are effective. Kennedy Space Center lists valuable tips for…

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…

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