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2019 and beyond
 

 

E/M Coding Update: 2019

Big Changes Coming to E/M Coding in 2019 and Beyond

Learn all about the changes coming to E/M coding and documentation starting in 2019 and beyond.  Utilize newly liberalized and expanded shortcuts to streamline your documentation.  Get ready for the new rules for coding based on time, the option of coding based solely on MDM and the blended payment structure for new and established office patients which has just recently been finalized and confirmed.  There are also new G codes which will allow primary care physicians improved reimbursement and increased payments to non-procedural specialists providing complex care.  Finally, there is a new extended services code for outpatient encounters with a decreased time threshold.

Changes NOW Active in 2019

  • Refer to your previosly recorded elements of history
  • Refer to your previously documented elements of physicial exam
  • Decreased documentation required for home visits
  • Liberalized rules for ancillary staff documentation
  • Decreased documentation burden for academic physicians

Changes Coming in 2021

  • New rules for coding based on time
  • Code based on MDM alone
  • New blended payment structure for new and established office patients
  • New minimum documentation threshold for new and established office patients
  • New G code for increased reimbursement for primary care physicians
  • New G code for increased reimbursement for non-procedural specialty care services
  • New outpatient prolonged services code with decreased time threshold

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Our Curriculums Have Been Updated!

The changes coming in 2019 and beyond will affect ONLY outpatient encounters. The rules for coding and documenting inpatient encounters will NOT change.

The curriculums listed below have been updated to reflect the E/M coding rule changes:

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