Pediatric Management Institute’s September COVID-19 Webinar: During the September 2020 session of the PMI’s ongoing webinar series, The Business Impact Of COVID19 On Pediatric Practices, this topic is covered along with other current topics.The Impact of 2021 E&M Coding Changes on Pediatrics: Learn about the E&M coding changes in context, and then hear PCC’s ideas about how these changes will affect the business of pediatrics.2021 E&M Workshop: A live workshop led by PCC, this session includes an overview of the changes and examples of real-world level selection.PCC’s 2021 E&M FAQ&A: Frequently asked questions, and a live Q&A about 2021 E&M leveling.2021 Evaluation and Management Updates: What changed? This 15 minute video explains the new way of selecting E&M codes in context with how you coded sick office visits before.You can get a quick understanding of how to level your E&M visits in 2021 by watching these videos: PCC’s Jan Blanchard (CPC, CPEDC) developed a printable guide to E&M Coding in 2021. That can include the time the pediatrician spent before, during, and after the actual encounter. You can base your visit level code selection on the total time that the rendering clinician spent on the patient that day. Risk: The level of risk presented to the patient. Items Reviewed: The tests, chart information, and other data you reviewed in relation to the problems addressed today. Problems Addressed: The number of problems you addressed for the patient during the day of the encounter. You can base your visit level code on medical decision making, which is comprised of three elements: Select a Code Based on Medical Decision Making These guidelines apply to common visit billing codes, such as 99212, 99213, 99214, or 99215, as well as to the selection of codes 99202 through 99205. Here’s a brief explanation of how you select a billing code level for an “evaluation and management” or “Office Visit” after January 1st, 2021. Instead, they select a code based on either medical decision making or time spent practicing care for the patient on the day of the visit. How Do I Select an E&M Code in 2021?įor encounters that occur after December 31st, 2020, a clinician no longer uses history or physical exam performed during the encounter as criteria for code selection. The requirements for documenting each level are also intended to provide appropriate and adequate information for continuity of care. Many pediatricians under-code their encounters, resulting in significant lost revenue for their practice.Ĭoding your E&M services correctly is not only a matter of revenue. Because most of the work you do falls under the umbrella of E&M, it’s vital that you code those services correctly. A pediatrician’s time with patients is going to be classified as E&M more than often than with other medical specialties. They represent the cognitive work, information gathering, and decision making that goes into a patient encounter. Why is E&M Code Selection Important to a Pediatric Practice?Į&M services make up the bulk of the work you do as a pediatrician.
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