Outpatient Facility Coding Alert - 2020 Issue 12
Countdown to 2021: Will You Choose Time or MDM for Your 2021 E/Ms? Here’s How to Decide.
Subscribe or sign in to view the full article.
Article Overview
This premium article walks through a case-based discussion of 2021 office and outpatient evaluation and management reporting, comparing time-based selection with medical decision making. It is written for coding professionals, revenue cycle staff, and clinicians who need to understand how the revised approach affects service-level selection and related diagnosis reporting.
Why This Topic Matters
Choosing the appropriate E/M selection method affects both coding accuracy and reimbursement. The article helps readers understand the broader decision context so they can assess whether the time-based or MDM-based approach is relevant to their own workflows.
Article Sections
-
The Case
Introduces the patient scenario used to frame the discussion of 2021 office/outpatient E/M reporting. The section presents the clinical context and documentation elements reviewed in the encounter.
-
E/M Coding by Time
Discusses the time-based approach to selecting the office/outpatient E/M service level for the encounter. It contrasts the case timing with the broader 2021 reporting framework.
-
E/M Coding by MDM
Discusses the medical decision making approach to selecting the office/outpatient E/M service level for the encounter. The section compares the case’s complexity with the 2021 framework for office/outpatient services.
-
ICD-10 Coding
Addresses diagnosis coding considerations associated with the encounter and emphasizes the importance of accurate ICD-10 reporting alongside E/M selection. The section presents diagnosis coding in the context of the case discussion.
What You Will Learn
- How the 2021 office/outpatient E/M framework uses time and medical decision making
- How a case-based example can help compare E/M selection approaches
- Why diagnosis coding remains important when reporting an E/M visit
- How documentation review and care coordination fit into E/M reporting discussions
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle staff
- Physician practices
- Clinicians involved in documentation and billing
Codes Discussed
Subscribe or sign in to view the full article.


Quick, Current, Complete - www.findacode.com