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Tag Archives: MDM

2021 E&M Changes – Diagnoses in the MDM

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASJanuary 31, 2020

  January 31, 2020 | By Pam Vanderbilt, CPC, CPMA, CPPM, CPC-I, CEMC, CEMA, CEMA-O     The year 2021 will bring significant changes to how we determine the level of evaluation and management services in the outpatient setting. We will no longer score history and exam elements, instead focusing on medical decision making or…

2021 E&M Changes – Data in the Medical Decision Making (MDM)

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASFebruary 7, 2020

  February 7, 2020 | By Pam Vanderbilt, CPC, CPMA, CPPM, CPC-I, CEMC, CEMA, CEMA-O     Previously we explored the 2021 changes that effect how diagnoses will be scored. Today we will dive into the changes to the data element of MDM. We know the year 2021 will bring significant changes to how we…

2021 E&M Changes – Risk in the MDM

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

  February 14, 2020 | By Pam Vanderbilt, CPC, CPMA, CPPM, CPC-I, CEMC, CEMA, CEMA-O     Next year will see the implementation of significant changes to E&M guidelines, reducing the emphasis on the history and exam components while highlighting medical decision making (M.D.M.). In our last audit tip on the E&M changes, we discussed…

2021 E&M Changes in Medical Decision Making – Putting it all Together

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASFebruary 21, 2020

  February 21, 2020 | By Pam Vanderbilt, CPC, CPMA, CPPM, CPC-I, CEMC, CEMA, CEMA-O     In the first three articles of this series, we explored how the 2021 E&M changes to office visits will affect each element of medical decision making (MDM): diagnoses, data, and the table of risk. In this article, we…

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…

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