decisionhealth Newsletters, Part B News - 2023 Issue 12 (December)
AMA’s interactive symposium session tested participants’ E/M IQ
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Article Overview
This piece summarizes highlights from an AMA CPT & RVBRVS 2024 Symposium session on evaluation and management (E/M) coding. It covers audience poll questions, clarifications from CPT/RUC leaders, and general comparisons between CPT guidance and Medicare policy for data review, prior authorization discussions, and split/shared services. The article is aimed at coders, billers, clinicians, and compliance teams preparing for 2024 E/M documentation and reporting updates.
Why This Topic Matters
E/M coding continues to change, and the article helps readers understand where professional society guidance and Medicare policy align or differ. It is especially useful for practices that bill E/M services and need to stay current on shared visit rules and medical decision-making concepts.
Article Sections
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Coding
Overview of an interactive symposium session on E/M coding and audience polling. Introduces the main topics discussed during the presentation.
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How to handle discussions
Discussion of how certain conversations are treated in the context of data review and prior authorization-related activity. Includes clarification from AMA presenters about the general policy context.
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Co-chairs team up on split or shared questions
Question-and-answer discussion focused on the 2024 split/shared guidance in CPT and related Medicare policy distinctions. Addresses documentation, substantive portion concepts, and site-of-service considerations at a high level.
What You Will Learn
- How an AMA symposium session addressed current E/M coding topics
- What broad areas of medical decision-making were discussed
- How split/shared service guidance is being presented for 2024
- Where CPT guidance and Medicare policy differ on shared visits
- What kinds of policy questions practices should review before reporting E/M services
Who Should Read This
- Medical coders
- Billers and revenue cycle staff
- Compliance professionals
- Physicians and qualified health care professionals
- Practice administrators
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