2024 Evaluation and Management (E&M) Updates

Over the last couple of years, the Evaluation and Management section of CPT® has had some drastic changes, and 2024 is no exception.  In an effort to reduce the time it takes to document and streamline the work involved, in 2024 revisions are being made to clarify issues with the new documentation guidelines.  There also is a new CPT® code added to the E&M section that some providers will be able to take advantage of.  In 2024, there also are changes being made in the CMS Physicians Fee Schedule Final rule that affect some E&M services when they are performed via telehealth now that the Public Health Emergency has ended. 

Webinar Objectives

The E&M codes are an important part of nearly every physician specialty having to do with the actual visit with the patient.  The E&M services require the review of the medical documentation for determination of the level of service either by time or medical decision making. The method used can be chosen by the provider from one patient to another.  The difference in reimbursement between the levels can be substantial.  We will look at what changes were made, as well as some common areas of concern.  Insurance companies also perform audits to prove fraud and abuse which could lead to refunds and denials, along with possible penalties.

Webinar Agenda

This session will look at the changes and determine what must be changed in the documentation to meet the requirements.  If the documentation is not appropriate, then it may be considered not done.  Some may be responsible for educating other staff, so fully understanding what is needed is an important to know and share with others.

Webinar Highlights

• Revisions to many codes by clarifying the requirements when time is the chosen method
• Description changes for shared/split visits
• Can we now report multiple E&M visits on the same day?
• New guidelines related to codes in which to determine the level of service is time.
• Inpatient and observation guideline changes
• Addition of guidelines and tables for the prolonged service with direct contact
• The first year of an E&M code as an add on for pelvic examinations

Who Should Attend

Coders, auditors, billers, compliance, physicians, Physicians Assistants, Advanced Nurses, Medical Assistants, Scribes