Get More E/M Money with New 2021 Medical Decision-Making Rules

Length: 60 Minutes Expert: Leonta Williams CEU: 1.0
Clear

Your practice can gain thousands of dollars from the 2021 CPT E/M coding changes provided you immediately master the radically new medical decision-making (MDM) based rules.2021 E/M Coding Changes for MDM.

CMS and AMA mandate that you completely change how you quantify MDM – and your 99202-99215 code selection. But the complex rules make it really easy to underreport your office visit services. If you fail to give credit when the guidelines allow it, you’ll lose reimbursement on your higher-level codes like 99214 and 99215.

There are strict requirements for diagnostic tests and historian reviews, which make it really important for you to include every piece of performed decision making in your code selection.

This is where coding and training expert Lee Williams, MBA, RHIA, CCS, CCDS, CPC, CPCO, CHONC, CEMC, CRC, can help. During her 60-minute online training session, Lee will walk you step-by-step through how to count medical problems, diagnoses, and risks accurately and fully, so you capture every dollar you’re entitled to. You’ll be able to successfully, compliantly, and more easily code and bill your office visits.

Here are just a few of the 2021 CPT E/M MDM coding questions you’ll get answered in this upcoming, expert-led 60-minute online training:

  • How do you apply the 2021 E/M Guidelines to secure maximum reimbursement for office visits?
  • When can you use the independent historian definition to get added credit?
  • What is the proper way for you to code multiple tests and multiple symptoms?
  • When can you give credit within the MDM Data category?
  • How do you determine the risk levels of different treatments and diagnoses on the CMS risk table?
  • When do you count a minor vs major procedure to avoid improper coding?
  • How do you code for patients with a history of cancer?
  • What are the financial implications of the decrease in conversion factor with provisional 3.75% increase?
  • How can you protect your payments from increased risk from documentation deficiencies?
  • In what settings should you apply the new guidelines?
  • What are the documentation and billing criteria for MDM vs. time-based billing?
  • How can you incorporate the AMA MDM tool, NCCI edits and other regulatory guidance to ensure compliance?
  • What are the documentation requirements for medico-legal statutes in your state?
  • Should you count surgeries as minor or moderate risk?
  • How do you document MDM appropriately to support billing and avoid denials?
  • What are proven ways to use the CMS Risk Table to validate your E/M service level?
  • Can you monitor utilization rates for services billed in 2020 vs. 2021 to identify potential errors or lost revenue?
  • How can you develop an internal plan to review E/M charges billed based on the new 2021 guidelines?
  • And so much more…

Who should attend? If you see patients in an outpatient hospital or your office, regardless of your specialty or size, these new codes apply to you. This session covers ALL MDM REQUIREMENTS for both CMS and private payers.

Your office is counting on you to decipher the 2021 E/M guidelines and protect their reimbursement for every 2021 claim. By attending Lee’s training, you’ll know exactly how to apply the MDM rules and select the correct code much more accurately and easily. 2021 E/M Coding Changes for MDM.

Whether you’re determining how to code an individual service or helping improve overall documentation, this training will provide you with the tools you need to code and bill every payable minute and prognosis. It’ll help you increase your reimbursements and get paid more of what you deserve for the services you provide.

Don’t wait, sign up for this must-see online training today. 2021 E/M Coding Changes for MDM.

Meet Your Expert

Leonta Williams

RHIA, CCS, CCDS, CPC, CPCO, CRC, CEMC, CHONC
Director of Coding

Leonta (Lee) Williams is currently the Director of Coding at a large physician organization in the southeast.  Lee has over 15 years of experience working in both the outpatient and inpatient setting.  Some of her professional roles have included coder, auditor, practice manager, educator, and trainer.

Lee has presented at national healthcare conferences, private healthcare training organizations, and has frequently contributed articles to healthcare publications.  She currently serves on a number of Boards including Georgia Health Information Management Association (GHIMA) and the American Academy of Professional Coders (AAPC).  Lee has a B.S. in Health Information Management and an MBA with concentration in Healthcare Administration.

Reviews

The presenter stayed on task, and answered all the questions very well.
Alicia Berry
ATMC
I thought it was very interesting and it really gave me better insight into the new E/M codes. The webinar was great and very informative.
Julian Bryant
Saleeby and Wessels Proctology