2023 Evaluation and Management Changes

In 2021 the documentation guidelines were changed for office and outpatient visit codes to use medical decision making or time to determine the level of service for the visit.  For 2023, the AMA and Medicare are revising the documentation guidelines for all other visits to coincide with the changes made in 2021.  We will review the guidelines as well as discuss additions made to the guidelines to accommodate the other codes and other codes that have been deleted.  For those deleted codes we will review the alternatives for coding and billing.  Any differences between what Medicare will accept and what the AMA CPT® says will also be defined for coding compliance with these changes.

Webinar Objectives

When CPT® codes are not accurately reported the provider runs the risk of an audit by any insurance company or governmental entity that is responsible for coding accuracy and compliance.  Coding error can also cause claims denials which either slows or prohibits reimbursement for services rendered.  Knowledge of the coding changes allows the office staff to establish workflow and process based on the coding changes and also share documentation requirements for compliance.

Webinar Agenda

We will be reviewing each individual change in the E/M section of CPT® whether it is a revision or addition to the codes or guidelines.  The information shared will be directly from CPT® and the AMA as well as Medicare alternatives to CPT®

Webinar Highlights

• Codes affected by these changes
• Deletions for previously used codes for Observation
• Changes made to the AMA medical decision-making table
• What codes can be reported based on time
• Coding consultation codes with the new guidelines
• Medicare’s physician fee schedule final rule for E/M in 2023

Who Should Attend

Coders, billers, auditors, physician, scribe, nurse, medical assistant, collections, administrator, manager, supervisor, claims adjuster, case worker, claims processor