AAPC - Advancing the Business of Healthcare

Experts Answer Your E/M Questions


With the 2023 E/M changes coming soon and so many questions left unanswered, Lori A. Cox, MBA, CPC, CPMA, CPC-I, CEMC, CGSC, CHONC, provides the information you need to prepare your staff — coders, billers, and auditors — to prepare for the upcoming changes.  

In this eBrief, she tackles questions related to the E/M updates, including:  

  • What do we do if the provider doesn’t document a history or exam? 

  • When the doctor spends time documenting the visit, s/he allowed to count that time toward "Total Time"? 

  • Does this mean we no longer will use 95/97 guidelines for any service? 

  • How does the change for 99281 impact situations where the patient left without being seen by physician? 

  • And more! 

About the author

Lori Cox

Lori Cox has over 25 years of experience working in the business side of healthcare. She began her career in patient accounts and then moved into billing and coding for a multispecialty clinic. She was eventually promoted to billing supervisor and then to compliance officer, where she wrote, maintained, and trained employees and providers on fraud and abuse. Currently, Cox works for AAPC Services as Director of Client Engagement, performing audits and education for clients across the U.S. She has spoken at HEALTHCON and regional conferences and has traveled the country educating coders and physicians on complex coding topics such as hem/onc and E/M guidelines. Cox is the past member relations officer for AAPC’s National Advisory Board.

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