BC Advantage - 2020 Issue 6

2021 E/M Changes: Defining the Differences

The hype surrounding next year's implementation of new guidelines for documenting and coding Evaluation & Management (E&M) services has revolved around the virtual elimination of the history and physical exam as key components of code selection. But some of the lesser-known changes involving new clarifications and revised definitions of the medical decision making (MDM) component may well prove more consequential to coders and auditors in their everyday work.This is because "gray areas" - instances where the original 1995 and 1997 E&M documentation guidelines are unclear or simply don't address a specific point - have cropped up...

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