Navigating the New Era of E/M Services

E-brief

Dive into the nuances of the 2021 and 2023 E/M services changes and gain clarity on how to apply the new medical decision-making (MDM) criteria effectively. From office visits to facility services, Lori Cox, AAPC Services' Director of Client Engagement, offers practical insights tailored to hospital, skilled nursing facility (SNF), emergency department (ED), and more. Read this eBrief to equip your team with the knowledge needed to navigate these shifts seamlessly and:  

  • Understand how to apply the MDM criteria effectively to ensure accurate coding and billing. 

  • Enhance patient care by understanding how factors such as age, past history, and social conditions impact risk assessment and service levels. 

  • Learn best practices to position your organization as a leader in delivering quality care and achieving financial success. 

  • Drive revenue integrity through clear documentation and informed decision-making, ensuring fair reimbursement while upholding regulatory standards. 

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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