decisionhealth Newsletters, Coder Pink Sheets - 2022 Issue 3 (March)
Ready for Round 2? Expect release of 2023 E/M guideline changes this summer
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Article Overview
This article covers an AMA preview of upcoming Evaluation and Management guideline changes, including the planned early release of revised guidance and the broad categories of facility-based code revisions being prepared for the next cycle. It is relevant to coders, billers, compliance staff, and practice administrators who track CPT editorial actions, Medicare fee schedule timing, and upcoming documentation/guideline updates.
Why This Topic Matters
The article helps readers anticipate major E/M changes before they take effect so they can review updated guidance, adjust workflows, and prepare for changes affecting facility-based services and related code families.
Article Sections
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Early release of revised E/M guidance
Summarizes the timing of the anticipated guideline release and the reason the update is being made available ahead of implementation.
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Expected facility-based E/M code changes
Outlines the broad categories of facility-oriented E/M code families expected to change in the upcoming cycle and notes related guideline updates.
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Don’t wait to prepare for changes
Encourages practices to review the forthcoming guidance in advance and discusses the importance of early preparation for implementation.
What You Will Learn
- The timing and purpose of the upcoming E/M guideline release
- Which broad facility-based E/M service categories are expected to be revised
- Why early review of revised CPT guidance can help practices prepare for implementation
- How CPT Editorial Panel actions relate to upcoming guideline updates
Who Should Read This
- Medical coders
- Medical billers
- Compliance staff
- Practice administrators
- Revenue cycle teams
- Healthcare providers
Codes Discussed
Code Ranges Discussed
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