AMA/CMS Releases Proposed CPT® Changes to Evaluation and Management (E/M) Office or Other Outpatient Services

The AMA has announced that they will be changing the Evaluation & Management Guidelines that have been in place all the way back to 1995. Their intent is to dramatically reduce the documentation burden of the history and physical exam, while placing all emphasis on Medical Decision Making to determine the correct E&M visit code. This will affect ALL payers, not just Medicare. They are also changing the requirements for time based visits, as well as prolonged services. These changes will take affect starting January 1, 2021. These rules are not finalized yet. We will know more sometime this summer (2020). Let us know if you have any questions. We will be happy to help! Please click on the following hyperlink for more information: EM Guidelines

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