The Patients Over Paperwork Act signed by the President recognized providers were spending too much time documenting information that wasn’t always clinically necessary for a patient’s treatment but was required to meet the documentation guidelines. A mandatory change has been approved for the documentation guidelines and the means in which office and outpatient levels for visits are determined effective January 1, 2021. While the final rule was approved by CMS in November 2019, the guidelines are also approved by the AMA and will be published in the 2021 CPT®.  This means that these guidelines will apply to all insurance companies.  The current guidelines were effective in the early ’90s and there has been a lot of controversy about these guidelines over the years. With the new guidelines, we can educate providers on how their documentation can be streamlined, and the elements of history and examination will no longer be used to determine the level of service, eliminating the excessive documentation, and allowing providers to spend additional time with patients.  It is important that the staff in the office know what the new guidelines are so that the providers remain compliant with applying the new documentation guidelines.

Session Highlights:-

• Choose best practices of utilizing time and medical decision making for your practice
• How do you determine the level of service for office visits?
• Discuss the effect of the number of diagnoses treated in medical decision making
• Learn the new elements assigned to data for medical decision making
• Hear about the additions to risk that may allow you to report higher levels of service.
• Combine the elements of medical decision making to determine the level of service
• Think about changes that will need to be made to documentation templates
• The effects these changes have on a practice’s compliance plan
• Review current documentation to determine changes that need to be made
• Contact EHR vendor to change templates for documentation
• Edit billing encounter/superbills for codes that are being added or deleted
• Educate providers of the changes.

Who Will Benefit?

• Consultants
• Auditors
• Compliance Officer
• Physician
• PA
• Nurse
• Biller
• Coder
• Collector
• Claims Representative
• Claims Adjuster
• Claims Processor
• Manager
• Supervisor
• Administrator
• Medical Assistants
• Office Staff

Medical offices, billing companies, insurance companies, consulting firms.