BC Advantage - 2021 Issue 4

When Denials Attack: Outpatient E/M Services Denied with 2020 Rationale

We now collectively find ourselves one calendar quarter into the new frontier of 2021 outpatient E/M services.Since January 1, I have fielded many questions from my professional contacts regarding how best to look at the newly-engineered medical decision making (MDM) component. As might have been expected, some gray areas presented themselves as clinics across the country implemented the new standards. This led to the AMA putting forward technical corrections on March 9 that addressed areas requiring clarification. In response to this document, NAMAS held a panel webinar on these revisions, which was recorded and can be replayed here...

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