E/M Guideline Changes Are Coming: What to expect

Lynn Anderanin

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Description of the topic:

For many physicians as well as other healthcare providers, E/M visits make up a great portion of their time spent with patients, and the completing of the medical record documentation for these visits.  CMS has initiated a program based on the comments received from providers called Patients Over Paperwork.  This initiative was created to reduce the time providers spend on the documentation portion of a visit, to allow them  to spend more time with patients and their care.  The current documentation requirements are redundant an burdensome for providers because they do not always the same as what providers feel is important for good quality of care from a clinical perspective.  The current guidelines have been used for over 16 years, and it is anticipated that the new guidelines are going to be quite different from what is used today.  Some of these changes were  announced in the CMS Final Rule of the Physicians Fee Schedule for 2019, along with additional changes being shared in the CMS Proposed Rule of the Physicians Fee Schedule for 2020.  The AMA has also share their idea of the changes in which CMS has agreed in part.  Because of the drastic changes in these documentation guidelines, offices will need to begin planning for these changes now, as it affects many areas of their office, and the time spent on the reporting of these services to include, documentation, EHR, auditing, and reporting of services to insurance carriers.  Providers and staff will have to educated in the new guidelines to avoid non-compliance with CMS and other insurance carriers.  Compliance will also be required in case of auditing for fraud, abuse, and false claims.


The Center for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) have published proposed guideline changes for Evaluation and Management services (E/M) to go into effect in 2021.


Why should you attend?

Anyone who is involved in the documenting, coding, and billing of E/M services will need to understand what is being proposed so that office can prepare for the changes.  Not only will providers need to understand, but electronic health records(EHR) and the templates you are currently using will have to be changed to meet the new guidelines.  It is not too early to begin preparing a project plan for the implementation of these new guidelines to reduce the impact on reimbursement for the beginning of 2020.

Areas Covered in the Session :

  • E/M Documentation Changes 2019
  •  Fine rules for 2019 to be implemented 2021
  • 2020 CM Proposed rules for E/M
  • AMA changes to the guidelines
  • The new Table of Risk for Medical Decision Making

Who will benefit:

physician, non physician provider, scribe, medical assistant, nurse, biller, coder, manager, administrator

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Speaker: Lynn Anderanin, Sr. Coding Educator for Healthcare Information Services

Lynn Anderanin, CPC, CPPM, CPMA,  CPC-I, COSC, is the  Sr. Coding Educator for Healthcare Information Services, a physicians revenue cycle management company. She has over 38 years experience in all areas of the physician practice,  and has experience in oncology and rheumatology.  Lynn is currently a  Workshop and Audio Presenter. She is a  former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served on several other boards for the AAPC. She is also the founder of her Local Chapter of the AAPC.

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