Enter’s billing team assembled this Blog Post for all Providers in the USA to gain insight on updates to 2021 coding rules.
Time is Allowed on Non-Counseling Dominated Visits - New 2021 CPT changes allow you to choose a level of E/M based on total time for E/M service OR level of medical decision making.
Telehealth is growing at the fastest rate in all of medicine. This may be one of the largest benefits and bright spots to emerge from the Covid-19 pandemic. The reduction in regulations is allowing Patients to get access from anywhere. Here is some new guidance on Medicare’s Professional Fee Schedule (PFS) and how to bill and code for Telehealth and Services Involving Communications Technology (CTBS):
To account for significant Evaluation and Management (E/M) codes Relative Value Units (RVU) increases, the final conversion factor is $32.41.
Prolonged Services with Direct Patient Contact are when a physician or other qualified healthcare professional provides prolonged services beyond the usual service in either the inpatient or outpatient setting.
These codes are applicable specifically for Prolonged Wellness Visits
Take advantage of time based coding by documenting every minute spent for the below activities.
1 - Prep-Work
2 - Exams
3 - Follow Up
Don't be fooled - there is little benefit these days from your EMR's "streamlined billing module" for your in-house or outsourced teams.