Prepare for 5 medical decision-making changes, more guidance in 2023

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains upcoming 2023 revisions to medical decision-making guidance used in evaluation and management coding. It is aimed at coding professionals, compliance staff, and clinical documentation teams that need to update training tools, scorecards, and internal guidance before the effective date. The coverage focuses on revised problem-addressed language, updated risk guidance, and setting-specific clarifications discussed in AMA webinar materials.

Why This Topic Matters

Organizations using E/M coding need to align documentation tools and staff education with the updated 2023 guidance so coding and training resources reflect the new framework before it takes effect.

Article Sections

  1. Overview of upcoming MDM updates

    Introduces the timing of the changes and the need to update practice materials based on the revised medical decision-making framework.

  2. Problems addressed column, definition revised

    Summarizes the revised problem-addressed guidance and related clarifications for different care settings.

  3. Two changes and more information for risk

    Reviews the updated risk-related guidance and notes additional clarification about how examples may apply across settings.

  4. Resources

    Lists supporting webinar and guideline resources referenced by the article.

What You Will Learn

  • What categories of medical decision-making guidance are changing for 2023
  • How the article frames updates to problems addressed and risk
  • Why practices may need to revise documentation tools and training materials
  • Which source materials and webinars are referenced for further review

Who Should Read This

  • Medical coders
  • Coding auditors
  • Compliance staff
  • Physician practices
  • Documentation improvement teams
  • Revenue cycle teams

Codes Discussed

Code Ranges Discussed


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