CMS E/M Proposed Rule for 2020 and 2021


Presenter: Leonta Williams, BSHIM, RHIA, CCS, CCDS, CPC, CHONC, CEMC
Duration: 60 Minutes



Medicare spends over 30 billion dollars yearly on Evaluation and Management (E/M) Services. With continued escalated cost and billing errors, CMS announced sweeping changes for calendar year 2020 and 2021. Many were caught off guard by the proposals in the 2019 Final Rules with language such as collapsed payment for level 2-4 office and outpatient service and multiple procedural payment reductions. Due to severe pushback from the American Medical Association (AMA) and other stakeholders, CMS has recalled their original proposals and aligned with the AMA. What we are left with drastic changes in documentation requirement, E/M documentation guidelines and code selection.

Our expert Leonta Williams, BSHIM, RHIA, CCS, CCDS, CPC, CHONC, CEMC, CPCO, CRC will help you to prepare for these proposed changes and provide examples of how the new proposals will affect providers and their billing practices.

Learning Objectives:

  1. Review 2020 and 2021 proposed changes
  2. Discuss the documentation changes already in effect
  3. Compare documentation requirement with current vs. proposed guidelines
  4. Learn tips for educating physicians and other qualified healthcare professionals
  5. Discuss the proposed G codes and how payment may increase for PCP and other specialist visits
  6. Review the new Medical Decision Making (MDM) table
  7. Discuss best practice for implementing new guidelines
  8. Discuss new RVU structure

Areas Covered in the Session:

  1. 2020 and 2021 proposed changes
  2. Current vs. proposed guidelines
  3. New RVU structure
  4. New MDM table
  5. Proposed G Codes
  6. Live Q&A session
Other Related Webinars:

Suggested Attendees:

  1. Coder
  2. Biller
  3. Physician
  4. Physician Practice Managers
  5. Claim Processors
  6. Healthcare Providers
  7. Hospice Providers
  8. Other Personnel interested in knowing E/M rules and guidelines

About the Presenter:

Lee Williams has over 15 years HIM experience as a coding director, auditor, educator, trainer, practice manager and mentor. She is presently the Director of Coding Operations at a large oncology/hematology physician practice located in the southeast region. In this role, some of her responsibilities include physician and staff education, risk mitigation, outpatient CDI and managing remote coding personnel. Lee also provides consulting services via a small firm with clients to include the Centers for Disease Control and Prevention (CDC), the U.S. Consumer and Product Safety Commission (CPSC) and Industrial Economics, Inc.

Lee has been published in AAPC’s Healthcare Business Monthly (HBM) magazine numerous times with her most recent article entitled “Help Combat the Opioid Crisis by Following Guidelines and State Rules,” appearing in the Feb. 2018 publication. She is founder and the current president of the local AAPC Covington, GA chapter and currently serves on AAPC’s National Advisory Board representing Region 4. Lee is a national speaker and highly credentialed through the American Health Information Management Association (AHIMA), the Association of Clinical Documentation Improvement Specialists (ACDIS) and the American Academy of Professional Coders (AAPC). She holds a degree in Health Information Technology and is a certified coder, compliance officer and clinical documentation specialist.

System Requirement

Operating System: Windows any version preferably above Windows Vista & Mac any version above OS X 10.6
Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to talk and hear clearly

For more information you can reach out to below contact:
Toll-Free No: 1-302-444-0162

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