This presentation is intended to provide clinic staff working in OMH licensed facilities with an overview of changes to coding and documentation requirements for evaluation and management (E/M) codes that went into effect on January 1, 2021. It includes a review of the new framework for selecting the proper E/M code which includes either (i) the total time spent providing the E/M service or (ii) the level of Medical Decision Making.
The new coding and documentation rules apply to patients covered by Medicare, Medicaid, and all third-party commercial payers. The changes are expected to simplify documentation and increase opportunities to bill for higher level E/M codes, which will in turn enhance reimbursement from Medicare and other third-party commercial payers.
documentation, coding, billing, evaluation and management, Article 31 clinics