2021 E/M Coding Update

 

There are seismic changes to the rules for E/M coding for new and established office patients, which took effect on January 1, 2021.  For the first time in over twenty years, we have new E/M guidelines.  The new rules apply ONLY to new and established office patients and fundamentally change the way you document your patient encounters.  This is extremely good news for any physician who sees new or established office patients.  The rules for documenting our patient encounters are now much easier to follow.

  • The extent of the history and physical exam no longer affect the level of care.
  • The level of care is now driven by medical decision-making OR by time.
  • Time will include both face-to-face time and non-face-to-face time on the date of the visit.
  • There is a new method for calculating medical decision-making.
  • The 99201 level of care has been deleted.
  • There are two new codes for prolonged services (but Medicare will only pay for one).
  • There is a new G code for medical complexity and/or primary care, but implementation has been delayed for the time being.

Since January 1, 2021, time or medical decision-making is all that matters when it comes to selecting the level of care for new and established office patients.  This curriculum will explain the new 2021 guidelines and then take you step-by-step through the process of how to document each level of care for new and established office patients.  These three modules will teach you everything you need to know about how to apply the 2021 guidelines in daily practice.  Earn three house of AMA Category 1 CME while you learn how to save time, streamline your documentation and optimize reimbursement in 2021.

 

E/M Coding Update 2021 Curriculum Includes the Following Four Video Tutorials

 

E/M Coding Update: 2021

 

This one hour course will review the rule changes for E/M coding for new and established office patients.  The new method for adding up time spent will be discussed as well as the new approach for calculating the medical decision-making.  We also cover the positive impact the wRVU changes will likely have on reimbursement for new and established office patients.  The new G code for medical complexity and/or primary care and the new prolonged services code will also be reviewed.  This course includes real-life clinical examples to illustrate how to incorporate the new rules into daily practice.

Run time 1:04:48    CME: 1 hour

 

New Office Patients: 2021

 

This course will take you step-by-step through all levels of care for new office patients, showing how to apply the new 2021 E/M guidelines in daily practice.  The good news is that the arbitrary rules for documenting the history and exam now no longer apply.  The challenge will be learning the new approach to calculating our medical decision-making.  Numerous examples will illustrate how to quantify your cognitive labor using the new rules and show to select the correct level of care for any encounter.  

Run time 1:02:48    CME: 1 hour

 

Established Office Patients: 2021

 

Similar to the new office patients course, this module will take you step-by-step through all five levels of care for established office patients.   Learn how to calculate your medical decision-making to select the correct level of care for each visit, then see how the 2021 guidelines will change the way you perform and document the history and exam for established office patients.  

Run time 1:04:50   CME: 1 hour

 

Telehealth E/M Services: 2021

Due to the pandemic, Medicare has relaxed the rules for providing telehealth services.  This module will teach you all you need to know about how to perform and document various encounters virtually.  


E/M Coding Update 2021
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