Understanding Medical Billing-Part 3 Evaluation and Management (E/M) Coding Video

Video Transcription

Video Summary

In this video, the speaker discusses the evaluation and management coding guidelines and how they are changing in 2021. Currently, the guidelines require the coding of exams to be based on elements of the exam and medical necessity. The speaker emphasizes the importance of medical necessity and notes that exams should be coded appropriately based on the level of complexity required for the patient's condition. They also mention that exams can be coded based on either the elements or the time spent with the patient, but the requirements differ for each.<br /><br />The speaker provides examples of how the coding guidelines apply to different scenarios, such as new patient exams and established patient exams. They explain that new patients require all three elements of the exam, while established patients only need two. The speaker also discusses the different levels of exams and explains that there are certain requirements that need to be met to code for each level.<br /><br />Towards the end of the video, the speaker mentions that the coding guidelines are set to change in 2021, with the history and physical exam no longer being determining factors in the coding process. Instead, medical decision-making will play a larger role in determining the level of exam. The speaker also notes that time spent with the patient will be considered differently, including all time spent with the patient and time spent on counseling and coordination of care. They mention that the new coding guidelines will provide more flexibility in determining the level of exam, but caution that medical necessity is still key.<br /><br />The video concludes with a personal message from the speaker, sharing a photo of their family and expressing their gratitude for the viewers' time.

Keywords

evaluation and management coding guidelines

2021 coding guideline changes

medical necessity in coding exams

coding exams based on elements

coding exams based on time spent

different requirements for new and established patient exams

levels of exams and coding requirements

changes in coding guidelines in 2021