Implementing the 2021 Guidelines for Office and Outpatient Visits

Lynn Anderanin

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The current guidelines for documentation of office and outpatient visits were implemented in the early 90’s and have become cumbersome and outdated for the current medical provider. For 2021 CMS and the AMA have joined together to create and implement new documentation guidelines for office and outpatient visits that must be used starting January 1, 2021.

Why Should You Attend:

The providers and staff involved in billing, coding, and documentation all need to understand the new guidelines to ensure the documentation supports the services being reported to the insurance companies. If the documentation does not support the services, and the provider is audited, there may be fees and penalties involved due to improper coding. These new guidelines make documentation easier as they are more relevant to medicine and the treating of patients today, and should reduce the time spent documenting irrelevant elements to the care of the patient.

In order for a medical provider to be compliant with the documentation and levels of service involved in office and outpatient visits, they must follow the current guidelines for documentation. Beginning January 1, 2021 there are new guidelines being implemented for all medical claims, regardless of insurance. These guidelines are published in the CPT® manual with the explanation of what they are and how to apply them. There are new ways of determining the level of service on the documentation to support time or medical decision making. Providers may have to change their documentation and templates based on these new guidelines and will need to know what is required.

Areas Covered in the Webinar:

  • New elements for choosing the level of office and outpatient visit
  • What is included when choosing a visit by time.
  • Looking at the new and improved table of risk
  • New categories for medical decision making
  • How does the social determinants of health affect the new guidelines
  • Counting individual diagnostic testing and medical record review for MDM
  • Whose time with the patient can be used for choosing a visit on time

Who Will Benefit:

  • Coder
  • Biller
  • Reimbursement representative
  • Claims adjudicator
  • Claims processor
  • Administrator
  • Manager
  • Supervisor
  • Surgery scheduler
  • Physician
  • PA
  • Nurse Practitioner
  • Claims Adjuster

Webinar Events
Live -Coming soon!

Training CD-DVD

Physical CD-DVD of recorded session will be despatched after 72 hrs on completion of payment

Recorded video

Recorded video session

Speaker: Lynn Anderanin, Sr. Coding Educator for Healthcare Information Services

Lynn Anderanin, CPC, CPPM, CPMA,  CPC-I, COSC, is the  Sr. Coding Educator for Healthcare Information Services, a physicians revenue cycle management company. She has over 38 years experience in all areas of the physician practice,  and has experience in oncology and rheumatology.  Lynn is currently a  Workshop and Audio Presenter. She is a  former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served on several other boards for the AAPC. She is also the founder of her Local Chapter of the AAPC.

Get in touch

(315) 632-0735,
(315) 750-4379