Outpatient Facility Coding Alert - 2020 Issue 9
Countdown to 2021: Read This Refresher to Fast-Track Your 2021 MDM Implementation
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Article Overview
This refresher article explains the scope of the 2021 changes to office and outpatient evaluation and management coding. It focuses on how the new framework shifts emphasis to time or medical decision making, what categories make up MDM, and why coders, auditors, and practices should prepare before the effective date. The discussion also highlights terminology clarifications and compares the revised CPT approach with related CMS concepts at a high level.
Why This Topic Matters
The article is relevant to coding and compliance teams preparing for the 2021 office/outpatient E/M changes. It helps readers understand the broad structure of the updated documentation and leveling approach so they can assess readiness and training needs without waiting for implementation.
What You Will Learn
- What the 2021 office and outpatient E/M changes are broadly about
- How the updated MDM framework is organized at a high level
- Why pre-implementation review and education are emphasized
- Which terminology areas were clarified in the revised guidance
- How coders and auditors can think about the transition period
Who Should Read This
- Medical coders
- Coding auditors
- Physician practices
- Compliance staff
- Practice managers
- Coding educators
Codes Discussed
Code Ranges Discussed
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