Episode Summary: New medical documentation guidelines for Outpatient Office visits were implemented on January 1, 2021 as part of the “Patient’s over Paperwork” initiative by Medicare with input from the American Medical Association. These new documentation guidelines require a “medically appropriate” history and physical exam and are billed by either Total Time or Medical Decision Making.  Host Neal Sheth interviews Dr. Piyush Sheth regarding these guidelines including benefits and pitfalls and their impact on healthcare economics.

Resources:

AMA 2021 E/M Office visit changes:

E/M office visit changes (ama-assn.org)

AMA updated document regarding Outpatient Office visits:

Code and Guideline Changes | AMA (ama-assn.org)

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Full Transcript Available at www.unravelingmedicalcoding.com