2024 Gastroenterology Reimbursement and Coding Update (Virtual) | November 2023-Overview of E&M Documentation Guidelines

Video Transcription

Video Summary

The speaker discusses the changes in the evaluation and management (E&M) services guidelines for 2021 and 2023. They emphasize the importance of medical decision-making and provide examples of the levels of complexity for problems addressed, data, and risk. The speaker explains that time spent on the day of the visit can be used for time billing and provides the time thresholds for different E&M services. They also give documentation tips, such as including pertinent information in the history of present illness (HPI) and accurately documenting the chief complaint and examination findings. The speaker concludes by mentioning that the next talk will provide clinical examples to further illustrate the application of the E&M guidelines.

Asset Subtitle

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

Keywords

evaluation and management services

E&M services guidelines

2021 and 2023

medical decision-making

levels of complexity

time billing

documentation tips

clinical examples