Title: Evaluation and Management (E/M) Changes for 2023

Presenter: Teri Bedard, BA, RT (R)(T), CPC with Revenue Cycle Coding Strategies
Time: 56.33 minutes

Description: Come away with practical knowledge and guidance so that you can understand the upcoming changes to evaluation and management (E/M) visits for physicians new for 2023.

Objectives:

•  Understand the core changes related to coding and documenting “other” evaluation and management services effective January 1, 2023, including hospital inpatient and observation care services, consultation services, emergency services, and prolonged services.
•  Gain a clear understanding of how to use either time or medical decision making to select the appropriate E/M service level for inpatient/observation and consultation services.
•  Understand the changes to reporting prolonged services to accurately code for these services.

Main Points:

•  E/M Services
•  Basic Documentation Principles
•  SOAP Format
•  Categories of E/M Services
•  Outpatient and Other Visits
•  Outpatient – New vs Established
•  CPT Assistant
•  Initial vs Subsequent
•  Code Selection
•  Outpatient/Office – New Patient Visits
•  Outpatient/Office – Established Patient Visits
•  Inpatient/Observation – New Patient
•  Inpatient/Observation – Established Patient
•  MDM Levels
•  MDM Scoring
•  Element 1: Problem(s)
•  Element 2: Data Reviewed
•  Element 3: Risk
•  Total Time Hospital Visits
•  CPT Threshold
•  Shared Visit Documentation
•  Consultations
•  Requirements

Revenue Cycle Coding Strategies

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Teri Bedard, BA, RT (R)(T), CPC, is the Executive Director, Client & Corporate Resources for Revenue Cycle Coding Strategies. She is a frequent speaker and author for nationally recognized professional organizations and publications. Teri's areas of expertise include assisting clients in the areas of billing and reimbursement for physicians, hospitals, outpatient and vendor technology, monitoring government regulatory information, and seeking new business opportunities. Teri often speaks at state regional and national conferences on topics including Radiation Oncology coding, CMS regulatory updates, documentation requirements, and other healthcare compliance issues.

Recent speaking engagements include the America Society of Radiologic Technologists (ASRT), Society for Radiation Oncology Administrators (SROA), American Association of Medical Dosimetrists (AAMD), American College of Radiation Oncology (ACRO), Association of Community Cancer Centers (ACCC), American Academy of Professional Coders (AAPC), and Elekta, Inc. Additionally, Teri provides key articles for ACROinsights, Oncology Issues UACC, and serves as a member of the Editorial Board for SROA. Teri works with cancer centers, hospitals, and physician practices across the U.S., as well as commercial payers, healthcare vendors, and benefit management companies to provide reimbursement information, assessments, education, and operational improvements.

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