BC Advantage - 2020 Issue 11

DON'T FALL FOR IT - 2021 E/M - Guidelines are a Trap

At first glance, the changes to E/M documentation guidelines for office services coming in 2021 seem like a substantial reduction in the documentation burden for providers working in the office and make it much easier to document higher level services. But once CMS and other payers figure out the negative impact to their bottom line profits from the increased spending on level IV and V E/M services rendered in the office, expect Medical Coverage Policy and Local Coverage Determinations to possibly pre-empt the AMA's published guidance on 2021 E/M services or at least tighten the documentation requirements needed...

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