2021 E/M Coding, Billing and Auditing Toolkit

Member Tool - December 9, 2020

RVUs

Coding & Documentation

Provider Compensation

These member tools provide a comprehensive understanding of the 2021 E/M coding changes, chart audits and elements of medical decision making, as well as the Medicare 2021 Physician Fee Schedule.

  • "GovChat Live Q&A #5 with MGMA Government Affairs - COVID-19 Relief Package & Advocacy in 2021" — This on-demand video from MGMA Government Affairs, recorded Jan. 14, 2021, details a number of changes from the economic aid act signed into law Dec. 27, 2020, and their impact on reimbursements for 2021.
  • "Outpatient Office Visit E/M Codes: Preparing for 2021" — This on-demand webinar outlines changes to office visit E/M codes slated for implementation Jan. 1, 2021. The presentation explores guidance developed by the AMA’s CPT Editorial Panel, representing the first documentation and coding overhaul in more than 25 years. (Editor's note: This webinar was held Nov. 17, 2020. The 2021 Medicare Physician Fee Schedule final rule subsequently came out, so please note there are changes for the conversion rate and G codes.)
  • 2021 Medical Decision Making for Outpatient E/M CodesThis member tool (PDF) explores the elements for leveling outpatient E/M codes Jan. 1, 2021, and thereafter, as well as time elements for each code; details on the number and complexity of problems addressed to establish MDM; the three categories addressing amount and/or complexity of data to review and analyze; and risk levels for complications and/or morbidity or mortality of patient management.  
  • 2021 Medicare Physician E/M Fee Schedule Analyzer Tool (Non-facility) — This spreadsheet tool allows physician practice leaders to analyze E/M reimbursements for 2020 compared to the final 2021 rate for non-facility charges.
  • 2021 Medicare Physician Fee Schedule (PFS) Tool (Non-facility) — The 2021 Physician Fee Schedule (PFS) tool (non-facility version) is designed to output the Medicare fee schedule based on data from the 2021 final rule.  
  • 2021 Medicare Physician Fee Schedule (PFS) Tool (Facility) — The 2021 Physician Fee Schedule (PFS) tool (facility version) is designed to output the Medicare fee schedule based on data from the 2021 final rule.
  • 2021 E/M Outpatient Office Visit Codes FAQ — The biggest questions about the 2021 E/M outpatient office visit code changes are answered by MGMA coding experts.  
  • 2021 E/M Audit Worksheet — This PDF resource includes CPT definitions for elements of MDM for outpatient office visits, as well as guidance on number and complexity of problems addressed; amount and/or complexity of data to review and analyze; risk of complications and/or morbidity or mortality of patient management; MDM risk scores for new or established patient E/M levels; time-based coding; and prolonged services for Medicare and commercial payers.
  • 2021 E/M Quick Reference and Crosswalk Guide — This downloadable PDF offers a quick reference for new rules for outpatient E/M code medical decision making (MDM), prolonged services and time-based coding elements.  Plus: A crosswalk guide PDF to compare previous E/M guidance to 2021.

Sign in to access this material

Member Login Become a Member

About the Author

MGMA Staff Members
X

Shopping Cart

Your cart is empty

Subtotal:
Click here if your organization is tax exempt
X

A State Sales tax exempt certificate must be on file and taxable items cannot be ordered online. For immediate assistance during normal business hours of 7:00am to 5:00pm MT M-Th and 7:00 am to Noon MT on Friday, please call toll-free: 877-275-6462, ext. 1888

X

Checkout

Use two letter code for US states
Use three letter code for country
Use two letter code for US states
Use three letter code for country

Grand Total:
Use two letter code for US states
Use three letter code for country
Saved credit card is required for opt-in to autorenew.

Questions? Contact the MGMA Service Center for assistance during checkout or review our return policy for more information.
X

Confirmation

,
,

Total:
Payment:
Balance:
 

Thank you for your purchase! If you purchased an event, you will be receiving a follow-up email from our Learning Management System regarding the product/event purchased and no further action is required.


Back to top
Loading...