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Implementing the 2021 Guidelines for Office and Outpatient Visits

Recorded Session | Lynn Anderanin | From: Nov 10, 2020 - To: Dec 31, 2020
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Course Description

The current guidelines for documentation of office and outpatient visits were implemented in the early ’90s and have become cumbersome and outdated for the current medical provider. For 2021 CMS and the AMA have joined together to create and implement new documentation guidelines for office and outpatient visits that must be used starting January 1, 2021.

Areas Covered in the Webinar:-

  • New elements for choosing the level of office and outpatient visit
  • What is included when choosing a visit by time.
  • Looking at the new and improved table of risk
  • New categories for medical decision making
  • How do the social determinants of health affect the new guidelines?
  • Counting individual diagnostic testing and medical record review for MDM
  • Whose time with the patient can be used for choosing a visit on time

Why Should You Attend?

The providers and staff involved in billing, coding, and documentation all need to understand the new guidelines to ensure the documentation supports the services being reported to the insurance companies. If the documentation does not support the services, and the provider is audited, there may be fees and penalties involved due to improper coding. These new guidelines make documentation easier as they are more relevant to medicine and the treating of patients today, and should reduce the time spent documenting irrelevant elements to the care of the patient.

In order for a medical provider to be compliant with the documentation and levels of service involved in office and outpatient visits, they must follow the current guidelines for documentation. Beginning January 1, 2021, there are new guidelines being implemented for all medical claims, regardless of insurance. These guidelines are published in the CPT® manual with an explanation of what they are and how to apply them. There are new ways of determining the level of service on the documentation to support time or medical decision making. Providers may have to change their documentation and templates based on these new guidelines and will need to know what is required.

Who Will Benefit?

  • Coder
  • Biller
  • Reimbursement representative
  • Claims adjudicator
  • Claims processor
  • Administrator
  • Manager
  • Supervisor
  • Surgery scheduler
  • Physician
  • PA
  • Nurse Practitioner
  • Claims Adjuster