2022 Gastroenterology Reimbursement and Coding Update: Concrete Solutions to Strengthen Your Foundation in GI Coding and Billing | November 2021-Understanding E&M 2021 Revisions: Part 1: Complexity of Problems Addressed and Data Reviewed and Ordered

Understanding E&M 2021 Revisions: Part 1: Complexity of Problems Addressed and Data Reviewed and Ordered

Video Transcription

Video Summary

In this video, the speaker discusses the two parts of understanding E&M guidelines. In the first part, they focus on the complexity of problems addressed and data reviewed and ordered. They provide examples of what counts as a problem addressed and explain that reviewing internal records does not count towards a data point, while reviewing external records does. They also discuss the importance of documenting comorbidities and differential diagnoses. In the second part, they talk about the risks involved in medical decision making. They emphasize the need for clear documentation and provide examples of different levels of problem addressed and data reviewed. They explain the definitions of tests, unique tests, combination of data elements, independent historian, independent interpretation, appropriate sources, and discussions with other providers. They provide a breakdown of the different levels of data for the E&M guidelines, from straightforward to high complexity. They also give practice pearls for documenting and ensuring appropriate credit for the work done.

Asset Subtitle

Kristin Vaughn, CPC, QMC, QMGC, CPMA, ICDCT-CM

Keywords

E&M guidelines

complexity of problems

data reviewed

problem addressed

clear documentation

risks in medical decision making

levels of data