Advanced E/M Coding: 2021 Changes Cut Denials & Boost Pay-up


It is easier said than done. You should be able to improve your reimbursement for E/M services by correctly implementing the 2021 coding rule modifications, but the ambiguity in the rules has made it seem impossible. 2021 e/m coding changes.
Specifically, the criteria for how you choose a level of service was significantly modified in 2021. These changes are confusing and have led to an increase in downcoding, denials, and payers modifying claim amounts. This leaves money on the table that you are rightfully due. 2021 e/m coding changes

Even the most seasoned coders are having a hard time mastering the nuances of these new rules (i.e., Choosing between medical decision-making (MDM) and time, face-to-face time vs total time, counseling, deletion of code 99201, and the change from the Table of Risk to the MDM Table). In order to avoid losses in your E/M reimbursements, it is critical that you have advanced knowledge of how to correctly calculate levels of service and enact internal policies that address how you will handle the areas of ambiguity in these new 2021 E/M Coding Guidelines.

The good news is that help is available…

This is where forensic coding and compliance expert, Michael D. Miscoe JD, CPC, CASCC, CUC, CCPC, CPCO, CPMA, CEMA, AAPC Fellow, comes in. Michael will present an advanced, 90-minute online training that will help you pin down the areas of confusion in the new 2021 E/M Coding Guidelines that can lead to claim level reductions and denials so you can get paid more of what you are rightfully due. 2021 e/m coding changes.
Here are some of the questions you’ll get answered by attending this expert-led online training that will help you more accurately code and get paid for the E/M services you provide:

  • What documentation is required to qualify for “Independent Interpretation”?
  • What encounter date time can you include in “total time spent”?
  • How much should you weight visit duration when selecting an E/M level?
  • How can you quantify risk, when the 2021 guidelines don’t make it clear?
  • Should you classify an initial encounter problem before or after diagnosis?
  • How do Medicare and commercial payers differ in E/M level scoring expectations?
  • What policies can prove consistency and establish a basis for your E/M scoring?
  • When is it best to select time over MDM for calculating your E/M level?
  • Can patient education time be included in E/M level selection?
  • Must a patient be hospitalized to utilize chronic illness w/severe exacerbation criteria?
  • What does the risk of patient management criteria apply to?
  • How can you best avoid a subjective analysis claim denial?
  • And so much more…

This presentation is NOT a general “how to code under the new E/M guidelines presentation.” Instead, the focus is to help you identify the questions/problems based on the areas of ambiguity within the Guidelines that can cause disputes between you and payers. Identifying and resolving these areas of confusion, will help you submit more accurate E/M claims to ensure you get all of the eligible reimbursement possible. 2021 e/m coding changes.

Access to this must-attend advanced E/M Coding Guidelines online training is limited to ensure expert, Michael D. Miscoe, has the time to answer your questions. The only way to guarantee your attendance at this upcoming online training is to register today.

P.S. Here are a few more of the specific questions you’ll get answered to help you overcome confusing in the new 2021 E/M Coding Guidelines:

  • Can discussion time be utilized in selecting an E/M level? If yes, how?
  • Can time spent interpreting test results, without the patient present, be included?
  • How can changes to Category 3 made a difference in your E/M code selection?
  • When does a “severe” exacerbation or side effect create a “significant” risk of morbidity?
  • How should you utilize the “risk of morbidity” with the new E/M rules?
  • When should each type of MDM be utilized: Straightforward, Low, Moderate, High?
  • How can you avoid claim denials for “medically inappropriate” history and exam?
  • And much more!

Sign up for this training today! 2021 e/m coding changes.

Meet Your Expert

Michael D. Miscoe

Mr. Miscoe is the President of Practice Masters, Inc. and the founding partner of Miscoe Health Law, LLC.  He has nearly 30 years of experience in healthcare coding, and over 25 years as a forensic coding/compliance expert. As a forensic coding/compliance expert, he provides forensic analysis and testimony as an expert witness on coding and compliance issues in civil and criminal cases on behalf of physicians and payers.

Mr. Miscoe’s juris doctorate degree and multiple coding certifications make him uniquely qualified to assist providers in a variety of complex coding and compliance issues.

Mr. Miscoe’s law practice represents healthcare providers involved in post-payment disputes with commercial and government payers. He has an extensive national speaking background and has been published in numerous periodicals on a variety of coding, compliance and health law topics. Mr. Miscoe is extensively involved with the American Academy of Professional Coders® (AAPC®). He is currently the President of their National Advisory Board, a member of their Legal Advisory Board and is the Chair of their Ethics Committee.


Excellent! Listening to the speaker's thought process helped to confirm my assumptions about some of the ambiguous areas of the the MDM process. For example, the idea for educating providers to classify the presenting problems for us.
Traci Watson
UMass Memorial Healthcare
The webinar was very knowledgeable and easy to follow.
Kim Pichon
Capital Orthopaedics & Sports Medicine
Michael was well informed and gave us slides for reference. Everything was good!
Sheila Johnson
Heartland Alliance