HCPro

Prepare for the 2021 E/M Changes!

Hi John,

Implementation of the 2021 E/M changes will be here in less than a month! If your facility bills for physician services, these changes have the potential to significantly impact your revenue cycle, especially when you consider related issues like the significant drop in the conversion factor that affects all CPT codes.

If you're looking for guidance on how to implement E/M revisions, visit our E/M Solution Center for all available resources, training, and information specific to your facility.

Here's how we can help:

Live, instructor-led training: Let our instructors cover E/M coding changes in an engaging format with your coders, providers, auditors, and compliance and revenue cycle staff.
Self-paced eLearning: Allow your physicians and coders to train at their own pace and location, with quality and actionable course content on E/M changes.
Auditing services to identify potential financial impact the new changes may have on revenue.
Workflow tools: Coders can apply the concepts they learn directly to their workflows using our SelectCoder cloud-based system. Leverage E/M specific features and breakdowns to ensure financial health across the revenue cycle.

If you're waiting to prepare, or unsure about whether to pursue training, consider these implications:

Revenue. The 2021 E/M office visit codes are reported millions of times per year, and tied to billions in payments. Disruption to E/M coding and billing could significantly derail your revenue cycle – far more than a change to other types of codes.
Documentation. The new documentation rules are complex. Sure, the “history” and “exam” elements no longer factor into coding. But the new medical decision-making (MDM) guidelines contain multiple/layered decision trees that you’ll have to master.
Additional impacts.Besides the new documentation guidelines, there are a host of other changes: a primary care add-on code; a new prolonged services code; new time standards and rules, to name a few. You’ll have to know the entire range of 2021 updates to find success next year.

Our education and compliance team is standing by to help you craft the right approach!