The 2021 E/M documentation guidelines create a sea change in how medical practices and outpatient departments select a level of E/M service. The revised reporting requirements mark the first significant update in more than 20 years since the release of the 1995 and 1997 documentation guidelines.

With updated guidelines on the horizon, practices will confront the potential disruption to a key revenue stream. E/M office visits account for 20% of total physician fee schedule charges. In 2018, practices gained $15.6 billion in payments from Medicare for the suite of E/M office visit codes 99201-99215.

Don’t miss this chance to hear it early and prepare your
organization for the upcoming big changes!

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So my coders can attend a webinar on the changes and be ready to go?

More than just your coders need to know about the changes. With the shift in documentation guidelines, your clinicians need to know how to document accurately under the new rules. And your billing staff and denials experts need to know the rules to keep your revenue on track. Your managers will need to make high-level decisions, such as whether to use time or MDM for your patient encounters.
Additionally, you will likely need to update your compliance plan and take steps to guard against fraud and abuse law infractions.
Given the breadth of changes and potential impact on revenue, advance preparation is highly recommended. That gives your staff enough time to understand the full range of updates to fully comprehend the complex new rules.

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