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Category Archives: E/M Coding & Auditing

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…

Repetitive Documentation of Time

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASJuly 3, 2020

  July 3, 2020 | By Stephanie Allard, CPC, CEMA, RHIT     As we move towards implementing the 2021 E/M changes, we need to evaluate areas of bad habits within E/M encounter documentation. I have noticed in my current reviews that many providers are in the habit of documenting the same exact amount of…

The Telehealth Conundrum – MAC vs National CMS Guidance

E/M Coding & AuditingBy NAMASJune 26, 2020

June 26, 2020 | By Holly Cassano, CPC, CRC As we move through the COVID-19 pandemic, many of us in health care are finding that many opinions and much guidance exists on the topic of telehealth/telemedicine, from many various sources. At the beginning of the COVID-19 public health emergency, the rules literally seemed to change…

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