ED Coding & Reimbursement Alert - 2019 Issue 9
CPT® 2021: Look for 3-Part E/M Guidelines in the Future
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Article Overview
This article covers proposed CPT evaluation and management guideline restructuring slated for 2021, along with expert commentary on how the changes may affect documentation, electronic record templates, office visit coding preparation, and alignment with payer policies. It is aimed at coders, billers, compliance staff, and clinicians who need to understand broad upcoming CPT and Medicare-related changes before they take effect.
Why This Topic Matters
Understanding upcoming CPT E/M guideline changes helps organizations prepare documentation workflows, revise templates, and train staff before the new structure affects code selection and compliance processes.
Article Sections
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CPT® Reconfigures E/M Guidelines
This section outlines the planned reorganization of evaluation and management guideline material into multiple groupings. It also includes expert commentary on the anticipated effect on documentation and coding processes.
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Keep an Eye Out for Early Release
This section discusses the possibility that some changes could be implemented earlier than expected and emphasizes the need to monitor updates from relevant organizations. It also highlights preparation considerations for documentation systems and payer policy awareness.
What You Will Learn
- How CPT evaluation and management guidance is expected to be reorganized
- Why the proposed changes may affect documentation and template design
- What types of implementation timing questions the article raises
- Which organizations and stakeholders are mentioned in connection with the changes
Who Should Read This
- Medical coders
- Coding educators
- Compliance professionals
- Revenue cycle staff
- Physician practices
- Clinicians who document E/M services
Codes Discussed
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