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The guidelines of documenting and choosing the appropriate level of evaluation and management services received an overhaul in 2021, and extensive revisions followed in 2023. The Centers for Medicare and Medicaid Services, as well as the American Medical Association, were instrumental in their aim to reduce the administrative burdens of the past 25 years of E/M standards as outlined in the 1995 and 1997 guidelines. Physicians and clinicians will better understand how to improve their documentation and coding to meet compliance standards moving forward in 2023 and beyond.

This webinar aims to help certified professional coders and auditors understand the important details of the new E/M guideline and code changes, as applicable to the office and outpatient settings, as well as the inpatient settings. Expert Sonal Patel, BA, CPMA, CPC, CMC, ICDCM wants certified medical auditors to be able to apply a new lens to their analyses of E/M documentation in these various settings due to the major overhaul of guideline changes.

Learning Objective:

• Documenting E/M services based on the new revisions of 2023
• Choosing E/M levels based on the new revisions of 2023
• Understanding medical-decision-making in 2023 and beyond
• Understanding time in 2023 and beyond
• Looking at auditing with a new lens in 2023 and beyond

Areas Covered in the Session:

• Medical decision-making
• Time
• E/M in office and outpatient settings
• E/M in inpatient and observation settings
• E/M as consultations in various settings
• E/M in an emergency department setting
• E/M in nursing facility settings
• E/M in home and residence settings
• E/M prolonged services
• Live Q&A Session

Suggested Attendees:

• Compliance professionals
• Certified professional coders
• Certified professional medical auditors
• Healthcare providers
• Practice managers
• Physicians
• Hospital and facility administration
• Consultants

Presenter Biography:

Sonal has served as a multi-specialty healthcare coding, auditing, and compliance professional in the industry for over 12 years. She is the Founder & CEO of SP Collaborative, LLC.

She began her second career as a medical biller and continued to advance into a renowned cancer hospital’s patient business services’ department armed with her CMC®, CPC®, and CPMA® credentials. She has had the the honor of directly working with and supporting healthcare attorneys in defense of their clients’ myriad reimbursement issues for almost six years.

Sonal has utilized her creative strengths while working in the business side of healthcare. She serves as the creator and host of her Paint The Medical Picture Podcast series which is currently in its second year. She has provided rich, thought-leadership content on  LinkedIn since 2012. Sonal is also a published author in numerous industry publications, including the Health Care Compliance Association’s (HCCA®), 2021 edition of the Complete Healthcare Compliance Manual. She finds herself often collaborating with her colleagues and trusted resources on podcasts, white papers, and so much more. Sonal provides young coders, newly certified coders, or those thinking of entering the niche world of medical coding with advice and encouragement.

Sonal proudly holds certifications as a Certified Professional Coder (CPC) and a Certified Professional Medical Auditor (CPMA) from the AAPC®, the world’s largest credentialing body for the business of medicine. She is also proudly certified by the Practice Management Institute® (PMI) as a Certified Medical Coder (CMC). She is highly proficient in ICD-10-CM and stands ready to master ICD-11-CM when it becomes a reality in the United States.

Sonal is an active member of the AAPC, the American Medical Billing Association® (AMBA), HCCA, the National Alliance of Medical Auditing Specialists® (NAMAS), and PMI.

Snippet From Our Previous Session