2021 Evaluation and Management Changes


Instructor: Carol Hoppe
Product ID: 706687
Training Level: Beginner to Advanced

  • Duration: 90 Min
New guidelines for office and outpatient Evaluation and Management (E/M) codes 99202-99215 were effective on January 1, 2021. This is biggest change in E/M coding and documentation since the 1995 and 1997 guidelines were published. Learn everything you need to know about documenting and coding under these new guidelines.
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Why Should You Attend:

In this session we will discuss the new guidelines for coding based on time or medical decision making. We will explain new definitions and the new time requirements for each E/M code. We will discuss what needs to be documented to support each level of service and review case examples applying the new guidelines for proper code selection. We will talk about new add-on codes for prolonged care. We will provide a coding “cheat sheet” with the information you need at hand while documenting and coding under the new guidelines.

Providers must use the new guidelines for coding visits in the office or other outpatient setting.

Evaluation and Management (E/M) documentation guidelines for office and outpatient visits changed on January 1, 2021. The AMA and CMS worked together to create these new guidelines to help reduce the burden of documentation on providers.

Areas Covered in the Webinar:

  • Understand and utilize the new coding and documentation requirements
  • Change your current coding patterns to align with the new guidelines
  • Recognize the differences when coding based on Time or Medical Decision Making
  • Learn new definitions that clarify previously vague concepts
  • Discover what data points can be counted under Data Ordered/Reviewed
  • Identify the new “add-on” codes prolonged care
  • Review case examples
  • Get answers to common questions

Who Will Benefit:

  • This training is designed for Physicians, Nurse Practitioners, Physician Assistants, Certified Nurse Midwives, Billing Office Staff, Coders, and Compliance Auditors.
Instructor Profile:
Carol Hoppe

Carol Hoppe
President and CEO, MedLucid Solutions LLC

Carol Hoppe, CPC, CCS-P, CPC-I has 15 years of experience auditing Evaluation and Management (E/M) services and training physicians on E/M documentation guidelines.

As a healthcare consultant, Carol Hoppe focuses on helping medical practices with billing, coding, documentation, and practice management solutions. Having been in healthcare for more than 25 years, she has worked with hundreds of different specialty and primary care physicians. Carol provides billing, coding, and compliance audits and education for physicians and staff. She has extensive hands-on practice experience in transcription, billing, collections, office management, director roles and consulting services.

Carol holds a BS in Business Management from Indiana Wesleyan University, where she graduated with honors, Summa Cum Laude. She is a Certified Professional Coder (CPC) and a Certified Professional Coding Instructor (CPC-I) through the American Academy of Professional Coders (AAPC) and a Certified Coding Specialist-Physician-Based (CCS-P) through the American Health Information Management Association (AHIMA).

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