Navigating the 2023 Evaluation and Management (E/M) Changes


Webinar Details

Speaker

Toni Elhoms

Industry

Healthcare

Speciality

Coding/Billing

Available

All Days

Duration

60 Minutes


Description

Evaluation and Management (E/M) services are the most frequently reported services across most medical specialties. For the first time in over 25 years, the coding guidelines for E/M services changed significantly in 2021 for office-based/outpatient services. Now, substantial changes will be implemented in the observation, emergency department, and inpatient setting for E/M services. These new documentation requirements will have a massive impact on providers’ clinical documentation and reimbursement rates. History and physical examination will no longer be used to calculate appropriate E/M levels of service along with extensive updates for each category of medical decision-making. In today’s webinar, we discuss the proper application of the new E/M guidelines, clinical documentation requirements, leveling methodology, when time-based coding is applicable vs. leveling based on medical-decision-making, proper application of prolonged service codes, and clinical documentation scenarios to score out based on the new leveling methodology.

Learning Objectives

  • Understand the 2023 E/M Guideline Changes
  • Recall new medical-decision-making requirements
  • Recall new time-based coding requirements
  • Understand clinical documentation requirements
  • Understand new prolonged service codes
  • Recall best practice E/M coding tips

Areas Covered

  • Discuss the 2023 E/M Guideline Changes
  • Discuss how history and physical examination elements have changed
  • Review updates for medical-decision-making requirements
  • Review updates for time-based coding requirements
  • Outline clinical documentation requirements
  • Dissect new leveling methodology
  • Review new prolonged service leveling methodology
  • Outline clinical documentation scenarios to demonstrate the proper application of new guidelines
  • Discuss best practice tips for E/M coding in 2023

Background

After epic changes to Evaluation and Management (E/M) services were enacted in 2021 to ultimately reduce the administrative burden for healthcare providers, the industry prepares for brand new changes and leveling methodologies that will apply to inpatient, observation, consultations, emergency department, home & residential visits, and skilled nursing facility E/M codes.

Why Should You Attend

Healthcare is a multi-trillion-dollar industry that remains highly regulated. With new guidelines comes new clinical documentation requirements. When organizations bill for services, they are reimbursed on a good-faith basis with the expectation that clinical documentation supports the services reported and regulatory compliance has been met. With E/M services being the most reported services among providers at large, they remain a moving audit target

Who Should Attend

  • Medical Coding Specialists
  • Medical Billing Specialists
  • Medical Auditing Specialists
  • Private Practice Physicians
  • Managed Care Professionals
  • Operations Leadership
  • Practice Administrators
  • Office Managers
  • Compliance Officers/Committees

Registration Options

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Toni Elhoms
Toni Elhoms

(CCS, CPC, CPMA, CRC)

Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD10-CM/PCS Trainer is an internationally known speaker and recognized subject matter expert on medical coding, reimbursement, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC. She holds multiple credentials with the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC). 

With over a decade of industry experience, she has led and supported hospital systems, universities, physician practices, payers, law firms, government agencies, and other entities on coding, billing, and compliance initiatives. She is a frequent contributor to various media outlets, speaker, and regular guest on industry podcasts. She created the Alpha Coding Podcast series to share her industry Pro-Tips. She also leads and mentors a network of revenue cycle management professionals across the country and serves as the President of the Orlando, FL AAPC Chapter.