We’re one year into using revised E/M criteria in the office setting. Join us for an overview of how code levels are selected under these AMA-defined changes. We’ll cover in depth how the AMA’s March 2021 Technical Corrections impact medical decision-making credit in orthopaedics. Last, we’ll discuss appropriate use of E/M modifiers 24, 57, and 25 in the office setting.
This 2.5 hour on-demand course analyzes the CPT E/M guidelines that apply to office new and established patient visits,
presenting them in a distilled, understandable way. We’ll break down and explain the restructured elements of Medical Decision Making and Time and demonstrate how they are applied using example scenarios.
In this session you will:
Drill into the parameters of Medical Decision Making, and how the definitions of Problems Addressed, Data, and Risk come together to determine a level of service.
Understand the nuances of how data credit is allowed (or not allowed), based upon information published by the AMA during 2021.
Differentiate how Time is defined under the revised criteria, and what activities can be counted when selecting the level of service for codes 99202-99215.
Take a detailed look at the definition of modifier 25 and how to defend against payor denials.