For years, physicians have complained that the 1995 and 1997 Evaluation and Management (E/M) guidelines are outdated and made documentation for visits to complex and time-consuming. The Paper over Paperwork Act had addressed these concerns and will implement drastic changes to the E/M guidelines for office visits beginning in 2021. Like other significant changes, anyone reporting E/M services in the office setting will have to comply with these new requirements on January 1, 2021. Practices will have to create a plan to meet the needs of their office in order to be ready to implement the new guidelines at the specified time, and this will prevent future audits and identification of overpayments.
The Evaluation and Management (E/M) guidelines are changing for 2021. It is not too early to understand what is changing and to create an implementation plan for your office. There are several different areas to consider in the implementation of these changes that include but are not limited to:
Senior Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She is a former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served on several other boards for the AAPC. She is also the founder of her local chapter of the AAPC. Her experience is primarily in the specialties of Orthopedics, Rheumatology, and Hematology/Oncology. She has been a speaker for many conferences, including the AAPC National Conferences and Workshops, Community Colleges, audio conferences, and Local Chapters. Lynn became a CPC in 1993, and a Certified Instructor in 2002, and a Certified Orthopedic Surgery Coder in 2009.