Medicare spends over 30 billion dollars yearly on Evaluation and Management (E/M) Services. With continued escalated cost and billing errors, CMS announced sweeping changes for calendar year 2020 and 2021. Many were caught off guard by the proposals in the 2019 Final Rules with language such as collapsed payment for level 2-4 office and outpatient service and multiple procedural payment reductions. Due to severe pushback from the American Medical Association (AMA) and other stakeholders, CMS has recalled their original proposals and aligned with the AMA. What we are left with drastic changes in documentation requirement, E/M documentation guidelines and code selection.

Our expert Leonta Williams, BSHIM, RHIA, CCS, CCDS, CPC, CHONC, CEMC, CPCO, CRC will help you to prepare for these proposed changes and provide examples of how the new proposals will affect providers and their billing practices.

Learning Objectives:-

• Review 2020 and 2021 proposed changes
• Discuss the documentation changes already in effect
• Compare documentation requirement with current vs. proposed guidelines
• Learn tips for educating physicians and other qualified healthcare professionals
• Discuss the proposed G codes and how payment may increase for PCP and other specialist visits
• Review the new Medical Decision Making (MDM) table
• Discuss best practice for implementing new guidelines
• Discuss new RVU structure

Areas Covered in the Session:-

• 2020 and 2021 proposed changes
• Current vs. proposed guidelines
• New RVU structure
• New MDM table
• Proposed G Codes
• Live Q&A session

Suggested Attendees:-

• Coder
• Biller
• Physician
• Physician Practice Managers
• Claim Processors
• Healthcare Providers
• Hospice Providers
• Other Personnel interested in knowing E/M rules and guidelines