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Medical Decision Making (MDM) Under the 2021 E/M Office Visit Guidelines

Course Overview

Course Content

Course Instructor

Instructor: Betty A. Hovey
BSHAM, CCS-P, CDIP, CPC, COC, CPMA, CPCD, CPB, CPC-I

CEU: 1

CEU’s Expire 5/31/23

Duration: 1 Hour

Skill Level: Intermediate / Advanced

Available: On Demand

AAPC Accreditation

AHIMA Accreditation

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Core A CEUs

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Applicable to all certifications except CIRCC and CASCC

Course Overview

The 2021 revisions to the Office/Other Outpatient E/M Visit Services are still being questioned by practices when putting them into practice. Under what circumstances can reviewing/analyzing data be counted? When is a stable, chronic condition not stable? In this webinar, we will look at the 2021 revised E/M guidelines, MDM table, the 2021 definitions added to CPT for Office/Other Outpatient Visit Services and review multiple examples of different medical record entries for practical application.

In this presentation, listen to Betty Hovey, BSHAM, CPC, CCS-P, CDIP, COC, CPMA, CPCD, CPB, CPC-I as she discusses how to determine the proper E/M office visit level utilizing the new MDM Table, including:

Agenda

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How to determine if a chronic condition is stable or exacerbated

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Do self-limited/minor problems always support a level 2 visit only?

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How to figure out the new Data elements

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When can you count a test ordered?

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When can you count review of a test?

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Can an external physician be in your practice?

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What elements are needed for 99211?

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How do Social Determinants of Health (SDOH) factor into the MDM Table?

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Are those definitions important?

Learning Objectives

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Learning Objective 1

Upon completion, participants will be able to apply the 2021 Office/Other Outpatient Visit E/M definitions in CPT to the medical record.

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Learning Objective 2

Upon completion, participants will be able to utilize the revised 2021 Medical Decision Making (MDM) Table in CPT to review Office/Other Outpatient Visit services.

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Learning Objective 3

Upon completion, participants will be able to demonstrate to physician and other providers proper documentation that supports the level of services reported.

We will walk through the MDM Table and discuss each element, how each column is determined, and how the columns work together for a final level determination. Multiple examples will be worked through to ensure a better understanding of the MDM Table.

This webinar useful for auditors, coders, billers, physicians/other providers, and anyone that needs a better understanding of the MDM Table.

Course Instructor

Betty A. Hovey

BSHAM, CCS-P, CDIP, CPC, COC, CPMA, CPCD, CPB, CPC-I

Betty is a nationally recognized health care consultant and speaker with over thirty years of health care experience. She has spent years on the “front lines,” managing practices, and directing health care system departments. Betty has educated medical coders, managers, health plans, administrators, physicians, and nonphysician practitioners all across the country. She has co-written manuals on ICD-10-CM, ICD-10-PCS, and CPT specialty areas.

Disclaimer: The information in the following presentation contains the views of the presenters only.   Participants are cautioned that information contained in this presentation is not a substitute for medical or legal advice. The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The participant and/or participant’s organization(s) are solely responsible for compliance and reimbursement decisions, including those that may arise in whole or in part from participants use of or reliance upon information contained in the presentation.  The information presented is accurate as of the date of this recording.

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