Update on Evaluation and Management codes

It has been a year since the American Medical Association released new guidelines for Evaluation and Management (E&M) codes, revising and replacing guidelines issued back in 1995 and 1997. This episode reviews the impact of these changes, which are intended to make the codes more relevant in today’s practice and easier for documentation.

 

Guest speaker:
Sheila Bowlds, MBA
Senior Consulting Director, Clinical Documentation Improvement
Vizient

 

Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Principal, Clinical Operations and Quality
Vizient

 

Show Notes:

[01:10] Changes to outpatient clinic codes only so far

[02:00] Process meant to be easier

[02:49] Codes that were dropped

[03:34] History and physical do not go into level determination but still needed

[04:34] Medical decision-making

[07:16] Time includes face-to-face and non-face-to-face: examples of what’s included

[08:33] What isn’t included in time component

[09:51] Intent of the new rules

[10:14] Prolonged services

 

Links | Resources:

To contact Modern Practice: modernpracticepodcast@vizientinc.com

Sheila Bowlds’ contact email: sheila.bowlds@vizientinc.com

2021 Office Visit Evaluation and Management (E/M) Changes (ACOG) Click here

 

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