2023 E/M Office Visit Reference Guide

Sample Pages

Table of Contents

The 2023 E/M Office Visit Reference Guide delivers a comprehensive overview of the E/M documentation guidelines and a clear, in-depth analysis of all updates and changes, including guidance on the medical decision-making (MDM) guidelines so that you can ensure accurate coding and billing.

Use the 2023 E/M Office Visit Reference Guide to train staff, reduce the risk of miscoding and the denials and audits that may result, and lessen the disruption to a key revenue stream. Given the amount of reimbursement dollars tied to the E/M codes, a lack of readiness could spell financial disaster. E/M office visits account for 20% of total physician fee schedule charges. In 2018, practices gained $15.6 billion in payments from Medicare for the suite of E/M office visit codes 99201-99215.

With the 2023 E/M Office Visit Reference Guide you can:

• NEW! Discover 2023-effective changes for facility-based coding, including revision of hospital inpatient and observation care services E/M codes 99221-99223, 99231-99239 and guidelines; ED service codes 99281-99285 and guidelines; domiciliary codes 99324-99328, 99334-99337, 99339-99340; and home visit codes 99341-99350.
  
  
• NEW! Find fresh revisions to prolonged services codes 99358-99359 and 99415-99416; and a new prolonged service code.
  
  
• Ensure your coders are accurately selecting the correct level of service for E/M office visits with office and staff training tips, including separate breakout sections for coders and clinicians; audit safeguards; and more.
  
  
• Understand the level of medical decision-making or time for code selection with comprehensive coverage of MDM and time elements.
  
  
• Receive guidance from the AMA that you won’t find in your CPT Manual.
  
  
• Get official CMS guidance on the E/M office visit documentation guidelines and detail the differences among regional Medicare administrative contractor (MAC) guidance.
  
  
• Get a first look at the 2023 E/M fees.
  
  
• Take a look at how private payers are setting rules and releasing guidance.
  
  
• Review the "pain points" that are impacting practices and get solutions.
  
  
• Understand the differences between CPT and HCPCS prolonged services coding.
  
  
• Train clinicians with several dozen documentation scenarios that clearly illustrate how a coder/clinician should accurately select a Level 1, 2, 3, 4 or 5 E/M code. The book will present scenarios tailored to specific specialties.
  
  
• Get vital FAQs based on upcoming updates and changes. The book's expanded FAQ section will answer confusing, hot-button items, such as the "data review" column of the MDM table.

Published: December 2022

Page count: 214
ISBN: 978-1-64535-177-1