decisionhealth Newsletters, Coder Pink Sheets - 2022 Issue 9 (September)
2023 E/M update: Prepare for 5 medical decision-making changes, more guidance next year
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Article Overview
This article explains upcoming 2023 evaluation and management medical decision-making changes and the need to update staff training and reference materials before the effective date. It focuses on revised guidance for problem complexity and risk in different care settings, with references to AMA/CPT educational resources and webinars. The piece is aimed at coding, compliance, and practice management staff who need a broad understanding of the changes without relying on the current MDM table language.
Why This Topic Matters
It helps practices prepare for documentation and training updates tied to upcoming E/M guidance changes, reducing the risk of using outdated internal tools or applying older MDM references after the effective date.
Article Sections
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Preparing for the 2023 MDM update
Introduces the upcoming effective date and the need to update internal training, scorecards, and reference materials. It frames the article as a preview of changes to medical decision-making guidance.
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Problems addressed column, definition revised
Summarizes updates to the problems addressed element and notes where revised guidance applies across care settings. It also references nursing facility-focused additions and inpatient/observation clarification.
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Two changes and more information for risk
Covers revisions and additions related to the risk component of medical decision-making. It also discusses setting-specific examples and broader guidance under the MDM table.
What You Will Learn
- What areas of medical decision-making guidance are changing for 2023
- Which care settings are affected by the revised problem-addressed guidance
- What kinds of risk-related updates are being added to the MDM framework
- Why internal E/M reference materials may need revision before the effective date
Who Should Read This
- Medical coders
- Coding auditors
- Compliance staff
- Practice managers
- Physician documentation trainers
- Revenue cycle staff
Codes Discussed
Code Ranges Discussed
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