You are risking 50% (or more) of the reimbursement your practice deserves. The cause is this year’s new Evaluation and Management (E/M) coding changes. 2021 e/m coding changes
These new rules, that went into effect January 1, 2021, change many of the core E/M coding principals you’ve been using for years. You are probably only now starting to receive the denials related to this new coding process, but there is help available to help you get paid more of the revenue you deserve.
Expert coding consultants and trainers, Kim Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO and Leonta Williams, MBA, RHIA, CCS, CCDS, CPC, CPCO, CEMC, CHONC, CRC, have put together 3 online training sessions that will help you make sure your claims are compliant with the new 2021 E/M coding rules. Each session breaks down a specific piece of the E/M coding guideline changes: Medical Decision Making (MDM), Time-Based Coding, and the recently released CPT E/M Errata & Technical Corrections.
These three 2021 E/M Coding online training sessions have been put together in a bundle at a special rate to help you master these complex new rules.
SAVE 15% INSTANTLY!
Order your 3-Part series in the next 5 days, and you’ll save an additional 15% off the total cost. Discount is already reflected. No code necessary. Or, if you prefer, you can order each session individually at the regular rate. ORDER TODAY!
PART 1: Get More E/M Money with New 2021 Medical Decision-Making Rules
Available Immediately, Order the On-Demand Recording to Watch at Your Convenience.
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.
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, 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 testsand 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 billingcriteria 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.
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, signup for this must-see online training today.
PART 2: More 2021 E/M Coding Changes,
Backdated to Jan 1.
Available Immediately, Order the On-Demand Recording to Watch at Your Convenience.
The 2021 evaluation and management (E/M) guidelines just implemented have changed AGAIN.
These recent 2021 E/M guideline updates affect multiple aspects of how you code for your office visits. Get them wrong, and you could easily end up miscoding your claims. If you code too high, you’ll be targeted for an audit and could end up paying massive violation penalties.
If you code too low, you are under charging for your services and not getting paid everything you deserve. Neither option is acceptable.
Failure to incorporate these most recent modifications (which are retroactive to January 1st) will most certainly drive up your denials and drive down your reimbursements.
Don’t let this happen to you.
Luckily, expert coder and educator, Kim Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, is here to help. During her 60-minute online training session, Kim will explain in detail the very latest E/M coding updates and clarifications.
You’ll learn how to wade through the unwieldy language of the most recent E/M guideline changes and quickly get to the specific information you need to choose the right level E/M code with confidence.
Here are just a few of the proven, step-by-step E/M coding expert advice that you’ll receive by attending this online training:
Master shared decision-making rules when a test is considered but not selected
Avoid over-counting data elements; know when tests may not be “unique”
Get credit for every test that qualifies as either “ANALYZED” or “INTERPRETED”
Pin down communications that count as “discussions” between physicians and others
Determine what counts as a major vs minor surgery (hint: global period is not always the answer)
Use risk of complications/morbidity, treatment, and condition to get your risk level right every time
Accurately report time as a key criterion for code level selection
Reconcile MDM elements when your EHR is calculating them differently than you
Identify when you can use code 99211, even though MDM elements are not in the AMA Table 2
Get an insider look into additional upcoming E/M code and guideline changes
And much more!
Who Should Attend? Regardless of your practice specialty or size, if you submit claims using E/M services, your coding accuracy and reimbursement will benefit from this training.
Incorrectly calculating the elements of MDM or time-based coding can lead to major compliance problems, not to mention the risk of lost revenue (or returning overpayments).
This training will provide you with foolproof tips for documenting MDM to support your code level, identify elements of MDM and time-based coding that you’re likely overlooking, and catch red flags before your payers have a chance to issue denials.
After attending this session, you’ll be able to head off denials and audit requests by ensuring that your reimbursement is correctly aligned with the effort and complexity of each E/M visit.
So, don’t wait, register today.
PART 3: Earn More Money for Time Based
E/M Visits Without Getting Audited
Available Immediately, Order the On-Demand Recording to Watch at Your Convenience.
Be warned. This year’s massive E/M coding changes could easily be costing you thousands — unless you have a solid handle on time-based coding criteria and when to apply it.
Although it’s now easier to use time to determine the level of your E/M services (99202-05; 99212-15), it’s also easier to make mistakes that cut into your revenue and get your claims audited (which you certainly don’t want).
Also, using time instead of medical decision making (MDM) to calculate your E/M level can cheat you out of reimbursement that you deserve for shorter more complex visits.
Utilizing time-based coding can help you get paid more of what you deserve for your office visits without raising red flags to auditor, if you do it right…
This is where coding expert and educator, Leonta Williams, MBA, RHIA, CCS, CCDS, CPC, CPCO, CEMC, CHONC, CRC, can help. During her 60-minute online training, Leonta will walk you through how and when to use time-based coding for your E/M visits.
You’ll master the new 2021 rules of time-based coding, plus learn how to avoid common but serious missteps that can result in your claims being denied and audited.
Here are just a few time-based E/M coding tactics you’ll receive by attending this 60-minute online training:
Strategically choose between coding based on time vs MDM to ethically maximize your payup
Avoid lost revenue due to activities that have been excluded in your time calculation
Fully support time-based billing for your presenting problem, diagnosis, treatment, and risk
Capture additional time from days outside of the exam date to improve your E/M level
Foolproof ways to document your time that will pass an audit with flying colors
Nail down prolonged service code (99417 and G2212) rules in light of current payer audit activity
Simplify your time-based documentation by using alerts in your EMR
Learn what an “impossible day” consists of, and why you must avoid it at all costs
Simplify timekeeping for split/shared visits and improve your overall reimbursement
And much more!
Regardless of your practice’s size or specialty, if you provide E/M services you simply can’t afford to miss this training. By understanding when—and when not—to use time-based coding for E/M visits, you’ll ethically optimize your reimbursement, save valuable provider and staff time, prevent payer denials, and protect against audits.
For example, using time ONLY to determine the level of your office visit, a 35-minute appointment with an established patient would be coded as a level 3 visit (99213). But, if that same visit required a moderate level of MDM, you could actually submit your claim for a level 4 visit (99214) and receive a higher reimbursement.
Don’t let the major overall changes to the 2021 coding guidelines for E/M – including time-based coding – trip you up. This training will teach you how to determine whether or not time-based coding is the right way to go for the services you offer, and exactly how to document your time so that your claims stand up to even the toughest payer scrutiny.
Sign up for this online training today and make sure you are being fully compensated for your time and complexity of decision-making under the new 2021 E/M coding guidelines.
Don’t wait, access to this training is limited. Register now!
Past Webinar Reviews:
“I thought it was very interesting and it really gave me a better insight into the new E/M codes. The webinar was great and very informative.” – Julian Bryant, Credentialing, Saleeby and Wessels Proctology
“Kim Huey is always a great speaker! She presents the information in a clear, concise manner.” – Stacie Olinski, Northeast Montana Health Services
“The handouts were organized exactly to the presentation and it was nice to have sites for the source documents included. Presenter was not “dry” for an otherwise unexciting topic. She added some humor, personal tone was great, felt like I was in a face to face class.” – Brenda Anderson, Northwest OB-GYN
100% Satisfaction Guaranteed or a Full Refund.
You take no risk whatsoever. If you find this essential session doesn’t meet your expectations or you are not satisfied for any reason, simply let us know.
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.
Kim is an independent coding and reimbursement consultant, providing audit, training and oversight of coding and reimbursement functions for physicians. Kim completed three years of pre-medical education at the University of Alabama before she decided that she preferred the business side of medicine.
She completed a Bachelor’s degree in Health Care Management and went on to obtain certification through the American Academy of Professional Coders and the American Health Information Management Association.
Recognizing the important position of compliance in today’s world, she has also obtained certification as a Certified Healthcare Compliance Consultant and a Certified Healthcare Audit Professional. Kim is also an AHIMA-approved ICD-10-CM trainer and has recently earned a Master of Jurisprudence in Health Law.
For over twenty-five years, Kim has worked with providers in virtually all specialties, from General Surgery to Obstetrics/Gynecology to Oncology to Internal Medicine and beyond. She has spoken at the national conference for numerous organizations.
Live Webinar: You attend the training online at a specific date and time along with the expert presenter who will answer your questions.
CD-ROM: A recording of the actual live event (including the Q&A). Your CD-ROM will be mailed to you via USPS First Class Mail within 48 hours of the live training date.
On-Demand Recording: Watch a recording of the live event anytime – as often and for as long as you’d like. Access the recording (including Q&A) online within 24 hours of the live training date and time. Simply log into your Healthcare Training Leader account.
Live + CD-ROM: You attend the training online at a specific date and time along with the expert presenter who will answer your questions. You’ll also be mailed a recording of the actual live event on CD-ROM.
Live + On Demand: You attend the training online at a specific date and time along with the expert presenter who will answer your questions. You’ll also have access to a recorded version of the training to access at your convenience.
Corporate Access: Select this option to receive online, on-demand access to your training across each of your locations. Setup will be initiated by our account team within 48 hours of your enrollment and can be utilized by your entire team.
You and your entire team, at all your locations, can attend as many live and view as many recorded trainings as you like for 12 months.
You and your team, in one single location, can attend as many live and view as many recorded trainings as you like for 12 months.
