2021 Evaluation & Management Guidelines for Office and Outpatient

The Center for Medicare and Medicaid Services (CMS) confirmed that they are moving forward with the implementation of the new AMA’s Evaluation and Management (E&M) Office and Outpatient visit guidelines as planned for January 1, 2021. The 2021 E&M Guidelines for Office and Outpatient are significantly different from the ones currently being used

For further study:

CPT® Evaluation and Management (E/M) Office or Other Outpatient (99202-99215) and Prolonged Services (99354, 99355, 99356, 99XXX) Code and Guideline Changes
https://www.ama-assn.org/system/files/2019-06/cpt-office-prolonged-svs-code-changes.pdf

E/M Health Plan Webinar: Overview of Changes Proposed for 2021
https://www.ama-assn.org/system/files/2020-08/e-m-health-plan-webinar.pdf

Target Audience

Physicians, Advanced Practice Providers, Residents, Medical Students, and Coders of the BSWH system.

Learning Objectives

After participating in this activity, the learner should be able to:

1. Explain the 2021 E&M Guidelines changes
2. Review how to document and code an E&M Service based on time
3. Review how to document and code an E&M Service based on medical decision making

Course summary
Available credit: 
  • 0.50 AMA PRA Category 1 Credit™
    The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
  • 0.50 Attendance
Course opens: 
11/12/2020
Course expires: 
12/31/2021

Planners/Authors: 

This activity was planned, reviewed, edited, and approved for use as the curriculum for the Baylor Scott & White Health organization by:

Joanna Bennett, Director, Billing, Regulatory and Physician Coding Compliance

Caroline Whitlock, Senior Compliance Consultant

Glen Couchman, MD
Brent Walker, DO

Disclosure of Relevant Financial Relationships:

*This content is not related to products or business lines of an ACCME-defined commercial interest
**There are no relevant financial relationships with ACCME-defined commercial interests for anyone who was in control of the content of this activity.

Commercial Support:

No commercial support was received for this activity.

Accreditation: The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation: The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health, designates this enduring material activity for a maximum of 0.50 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 0.50 AMA PRA Category 1 Credit™
    The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
  • 0.50 Attendance
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