22 min
S1E11#13 E&M 2021 Updates! Includes Podcast
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- Karriär
Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer!
This episode covers "The E&M 2021 changes" Significant changes have been made to the E/M codes and guidelines for 99202-99215, these changes will replace our 1995 and 1997 guidelines and will be taking effect January 2021. History and exam are still important parts of the note and may contribute to the time and medical decision making; medical necessity is still the overarching criterion for code selection.
The time in the code descriptors will change from “typical” to “minimum”. MDM is the other criteria we can use, instead of using time to select the E&M code. New Code: 99417 for prolonged services, reported with 99205 or 99215, if the codes were selected based on the time alone and if services take longer than what is outlined on the code (99205 & 99215). Note: Please check with your payer for specific time needed to be able to use code 99417. The AMA has provided a table with their definitions and instructions in selecting the level: https://www.ama-assn.org/system/files/2019-06/cpt-office-prolonged-svs-code-changes.pdf
Join me in this episode as I discuss these upcoming changes for E&M!
Here are my references for this episode:
1. Email: IncludesPodcast@gmail.com
2. https://www.aapc.com/evaluation-management/em-codes-changes-2021.aspx
3. https://www.ama-assn.org/practice-management/cpt/10-tips-prepare-your-practice-em-office-visit-changes
4. https://www.ama-assn.org/practice-management/cpt/em-office-visit-changes-track-2021-what-doctors-must-know
5. https://www.ama-assn.org/press-center/press-releases/ama-releases-2021-cpt-code-set
6. https://www.ama-assn.org/system/files/2019-06/cpt-office-prolonged-svs-code-changes.pdf
7. https://www.proximaledge.com/education-and-training
Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more!
If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com
---
Send in a voice message: https://podcasters.spotify.com/pod/show/includespodcast/message
Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer!
This episode covers "The E&M 2021 changes" Significant changes have been made to the E/M codes and guidelines for 99202-99215, these changes will replace our 1995 and 1997 guidelines and will be taking effect January 2021. History and exam are still important parts of the note and may contribute to the time and medical decision making; medical necessity is still the overarching criterion for code selection.
The time in the code descriptors will change from “typical” to “minimum”. MDM is the other criteria we can use, instead of using time to select the E&M code. New Code: 99417 for prolonged services, reported with 99205 or 99215, if the codes were selected based on the time alone and if services take longer than what is outlined on the code (99205 & 99215). Note: Please check with your payer for specific time needed to be able to use code 99417. The AMA has provided a table with their definitions and instructions in selecting the level: https://www.ama-assn.org/system/files/2019-06/cpt-office-prolonged-svs-code-changes.pdf
Join me in this episode as I discuss these upcoming changes for E&M!
Here are my references for this episode:
1. Email: IncludesPodcast@gmail.com
2. https://www.aapc.com/evaluation-management/em-codes-changes-2021.aspx
3. https://www.ama-assn.org/practice-management/cpt/10-tips-prepare-your-practice-em-office-visit-changes
4. https://www.ama-assn.org/practice-management/cpt/em-office-visit-changes-track-2021-what-doctors-must-know
5. https://www.ama-assn.org/press-center/press-releases/ama-releases-2021-cpt-code-set
6. https://www.ama-assn.org/system/files/2019-06/cpt-office-prolonged-svs-code-changes.pdf
7. https://www.proximaledge.com/education-and-training
Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more!
If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com
---
Send in a voice message: https://podcasters.spotify.com/pod/show/includespodcast/message
22 min