decisionhealth Newsletters, Part B News - 2020 Issue 6 (June)
10 ways to kick-start your E/M 2021 prep and ensure a smooth switchover
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Article Overview
This article outlines preparation steps for the 2021 revisions to office and other outpatient E/M coding. It is aimed at coders, billers, clinicians, and practice managers who need a high-level roadmap for transition planning, documentation assessment, training, workflow updates, and payer communication. The piece also points readers to major AMA and CMS reference materials that support the changeover.
Why This Topic Matters
The article helps practices understand the scope of the E/M transition and the operational areas most likely to be affected. It is useful for organizations planning education, audits, system updates, and payer discussions ahead of the implementation date.
Article Sections
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Coding
Introduces the article’s focus on preparation for office and outpatient E/M revisions and sets up the transition-related topics covered below.
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Start ahead of time
Discusses early planning, assignment of responsibilities, baseline review activities, and related preparation steps for the upcoming E/M transition.
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Resources
Lists external AMA and CMS reference materials related to E/M office services, prolonged services, medical decision-making, and documentation guidance.
What You Will Learn
- How practices can organize early preparation for an E/M guideline transition
- Which operational areas may need review or update during the switchover
- What kinds of reference materials and guidance are available from major organizations
- How practices can approach documentation, workflow, and payer communication planning at a high level
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Clinical staff
- Physicians/providers
- Compliance and documentation reviewers
Codes Discussed
Code Ranges Discussed
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