Mastering E/M Coding Changes & Telehealth Billing for 2022

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About Course

Effective January 1, 2021, E/M codes for office visits changed. E/M levels are now determined by time or medical decision-making. Since these new changes have been implemented in 2021, there have been technical corrections issued by the AMA along with numerous FAQs answered by the AMA. In this webinar, Attorney and Certified Professional Coder, David Vaughn, will guide you through the nuances of selecting the level of E/M visits based on either time or medical decision making along with the appropriate use of modifier 25 which continues to be a challenging issue for most providers. Further, for the duration of the PHE, Medicare and other payers now allow telehealth services to be billed that were not previously allowed prior to the PHE. David Vaughn will cover the types of telehealth visits that can be billed to Medicare along with documentation, modifier, and place of service billing requirements.

Areas Covered in the Session:

  • Acute vs. Chronic
  • MDM Data Calculation
  • Risk Level of an Office Visit
  • E/M Visit Billing
  • Modifier 25
  • Telehealth E/M Visit Billing
  • Documentation Required
  • Place of Services and Modifiers Use for Telehealth Services
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What Will You Learn?

  • How does the AMA define an acute vs. chronic problem?
  • How is a “stable” problem defined?
  • How is the level of data calculated based on the MDM Table?
  • How is the ordering and interpretation of tests used in the calculation of data for MDM?
  • How is the risk level of an office visit determined?
  • What is the number of minutes required for each of the office visit levels?
  • What activities are included when billing a visit based on time?
  • When is it appropriate to bill an E/M visit on the same date as a procedure using Modifier 25?
  • What documentation is required in order to bill an E/M visit performed via telehealth?
  • What is the documentation difference between an audio-video visit vs a telephone-only visit?
  • What place of service and modifiers should be used when billing telehealth visits?

Course Content

You can access all the webinar materials after successful payment

  • Webinar Link + Handouts PDF
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