HCPro, JustCoding Outpatient - 2020 Issue 4 (January)
Q&A: Preparing hospitals for the 2021 E/M overhaul
January 28th, 2020
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Article Overview
This article explains a hospital-focused question-and-answer discussion about the 2021 evaluation and management overhaul and its possible effects on outpatient visit billing. It covers Medicare hospital outpatient reporting, chargemaster considerations for different payer types, and the relationship between CMS guidance and AMA CPT updates. The piece is useful for hospital coders, revenue cycle staff, compliance teams, and anyone preparing for E/M-related policy and workflow changes.
Why This Topic Matters
Hospitals needed to understand how shifting E/M guidance could affect outpatient visit billing, charge structure, and alignment between Medicare rules and CPT-based reporting. The article helps readers identify the policy and operational issues to review before updating systems and internal processes.
What You Will Learn
- How hospital outpatient E/M reporting may be affected by upcoming changes
- How Medicare hospital billing concepts interact with outpatient visit coding
- Why chargemaster and payer-specific pricing considerations matter during E/M transitions
- How CMS and AMA guidance may influence hospital coding workflows
Who Should Read This
- Hospital coders
- Outpatient revenue cycle staff
- Compliance professionals
- Coding managers
- Billing administrators
- Practice and facility operations leaders
Codes Discussed
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