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The Impact of the 2021 E/M Guideline Changes

The Impact of the 2021 E/M Guideline Changes

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The 2021 coding requirements impact everyone in your organization — from billers and coders to administrators and physicians — and likely play a major role in your revenue. Designed to help business leaders ensure success with these updates, this event will help you master the new guidelines, achieve compliance, and obtain optimal reimbursement.

This is a 3-part session, originally presented as a part of the AAPC Audit Services "Listen Up" Virtual Conference Series.

Session 1: 2021 E/M Guidelines Changes - The Impact Beyond Coding & Documentation

The 2021 E/M guideline changes have a broad-sweeping impact on the revenue cycle, well beyond coding and documentation. In this presentation, we discuss the impact on the other areas of the revenue cycle, key performance indicators, and workflow changes for administrative staff.

Session 2: The 2020/2021 Comparison Audit - The beginning, not the end.

Explore how audit data can drive decisions for success in this unprecedented time of change. We walk through a case study featuring data from a large healthcare entity of ~6000 providers and provide answers to questions like:

  • Will my office visits code lower than before?

  • Do I have to change my documentation style?

  • Should I just use the time?

  • What about other codes that represent my services? How are they changing?


Session 3: CY 2020: The Year of Surprises

Financial management is an art and a science in any industry, but healthcare is particularly challenging because the industry changes so fast and frequently. In this session, we explore the financial impact stemming from three main sources:

  • CPT® changes to the E/M (office visit) structure

  • CY 2021 Physician Fee Schedule changes

  • Should I just use the time?

  • Consolidated Appropriations Act, 2021

About the authors

Jessica Whitney

CPC / CPMA Audit Manager

Jessica began her career in healthcare over 20 years ago at Blue Cross of Idaho working in both provider relations and claims. After several years she transitioned to practice management and has managed in both small, privately owned as well as large multi-specialty hospital-owned practices. She has spent over 20 years refining her expertise in practice management with a strong focus in revenue cycle management for practices of all sizes. Jessica also has in-depth knowledge of the credentialing and contracting process as well as experience in reimbursement analysis. Jessica is a national speaker and author. In her current role as Director of Operations with AAPC Services she works with a variety of clients helping them improve their revenue cycle processes.

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Charla Prillaman

CPCO, CPC, CPC-I, CCC, CEMC, CPMA

Charla Prillaman has more than 30 years' experience providing coding, compliance, and billing services to physician practices. Throughout her career, she has worked in a number of capacities; including coding and compliance for billing companies, a physician practice consultant for both mid-size and Big 4 consulting firms as well as many years directing a large team of auditors employed by a large healthcare system. She has experience in academic settings as well as private practices. Ms. Prillaman's compliance experience includes auditing, IRO work, development and implementation of practice compliance plan, and writing policy and procedure. She is a frequently sought speaker and educator. Prior to joining AAPC Services, Charla served on both the AAPC's National Advisory Board and AAPC Chapter Association's Board of Directors and was named AAPC's Coder of the Year in 2000.

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