Decipher 2021 E/M documentation proposals

Why This Topic Matters

Understanding these proposals helps practices prepare documentation workflows and coding processes for office and outpatient E/M reporting changes, including how time may be used in code selection and how prolonged services are addressed.

Article Sections

1. Shifting definitions

   This section compares CMS and AMA approaches to time-based reporting and discusses how the concept of time is being revised for office and outpatient E/M services. It also touches on shared or split visits and the role of multiple qualified healthcare professionals.

2. How the AMA defines it

   This section focuses on the AMA’s version of time-based E/M reporting and how it addresses visits involving more than one practitioner. It also discusses the types of activities that may be considered in the reported time framework.

3. Assess when time is beneficial

   This section presents a specialty-based example showing how time-based selection may affect office E/M reporting under different approaches. It compares documentation scenarios across current and proposed guidance.

4. Plot prolonged services

   This section introduces the proposed prolonged services concept for office and other outpatient E/M services and explains where it fits within the broader 2021 update. It also references how extended encounters are addressed in the new framework.

5. Take steps to get ready

   This section offers preparatory guidance for practices evaluating the operational impact of the 2021 changes. It emphasizes reviewing documentation patterns, schedules, and relative value unit implications.