2020 Webinar: New E/M Requirements are Coming January 1: Will You Be Ready?-New E/M Requirements are Coming January 1: Will You Be Ready?

New E/M Requirements are Coming January 1: Will You Be Ready?

Video Transcription

Video Summary

The video discusses the new requirements for evaluation and management (E&M) codes that came into effect on January 1, 2021. The changes were made by the Centers for Medicare and Medicaid Services (CMS) after refining their E&M code policy for a number of years. The video focuses on three aspects of the policy: changes to the outpatient E&M code family, new values for the services, and revised documentation requirements. The changes to the code family include the elimination of certain codes, the introduction of add-on codes for time-based billing, and changes to the underlying guidelines. The values for the E&M codes have increased, providing higher payments for these services. The revised documentation requirements remove the need for history and physical exams and allow billing by medical decision-making or time spent with the patient. The presentation also discusses the impact of these changes on payment and provides examples of billing scenarios under the new policy.

Asset Caption

Presenter: Erika Miller, JD
Senior Vice President and Counsel at CRD Associates

Keywords

evaluation and management codes

Centers for Medicare and Medicaid Services

E&M code policy

outpatient E&M code family

revised documentation requirements

billing scenarios