HCPro and DecisionHealth release E/M training programs and solutions to help pro-fee healthcare organizations prepare for big policy and documentation changes in 2021


Given the breadth of changes and potential impact on revenue, a comprehensive training plan is highly recommended to give your staff enough time to understand the new E/M billing policies and documentation guidelines.

With major E/M code changes set to go live on January 1, 2021, healthcare organizations need to prepare their staff to prevent potential disruption to a key revenue stream. E/M office visits account for 20% of total physician fee schedule charges and approximately $15.6 billion in payments from Medicare (based on 2018 data for codes 99201-99215). The American Medical Association (AMA) projects that the impending E/M code changes will impact $25 billion in Medicare Part B spend.

The experts at HCPro and DecisionHealth are excited to announce the release of new E/M training programs and solutions to provide healthcare organizations with the education and regulatory information to reduce the risk of incorrect coding and help prevent subsequent denials and audits.

“Given the breadth of changes and potential impact on revenue, a comprehensive training plan is highly recommended to give your staff enough time to understand the new E/M billing policies and documentation guidelines. This includes using practical scenarios to help them fully comprehend the new complexities prior to 2021,” says Richard Scott, Associate Content Manager for Part B News, among other DecisionHealth publications.

With E/M changes impacting personnel across the entire spectrum of a healthcare organization’s revenue cycle, we have created specific E/M training programs for:

  • Coders and auditors who need to assign, verify, and act as a resource for interpreting the new and revised guidelines while optimizing E/M audits;
  • Compliance, documentation integrity (CDI), and finance education, zeroing in on specific need-to-know information to compliantly protect revenue;
  • Physicians tasked with selecting their own levels of E/M services and want to ensure minimal interruption to workflow processes; and
  • Payers who need to understand the implications on revenue cycle and compliance departments from medical policy and claims to data analysis, provider outreach educators, and more.

Scott adds, “It’s more than just providing training for your coders. Clinicians need to understand how to document accurately, billing departments need to be able to keep your revenue on track, and managers must be ready to make high-level decisions, such as whether to use time or MDM for your patient encounters. They will all be impacted.”

View a full suite of E/M training programs available at https://interactive.hcpro.com/evaluation-management-solutions.

And if your healthcare organization requires a more custom-designed training program, our E/M Solution Center allows you to browse featured offerings by category, including:

  • Instructor-led boot camps, virtual workshops, and eLearning course libraries for coders of every level basic, intermediate or advanced;
  • Online digital workflow coding tools, eNewsletters, and membership subscriptions providing instant access to the latest E/M news and updates;
  • Webinars on specialty practices, Medicare physician fee schedule, E/M new documentation guidelines, pay rates, and more available in both live and on-demand formats; and
  • 2021 guides, books, and quick reference cards.

You can even download a complimentary copy of a 2021 E/M Prep Guide from our experts that contains critical information to ensure coding accuracy and secure proper payment.

Visit the E/M Solution Center at https://interactive.hcpro.com/solution-center/evaluation-management.

To discuss training recommendations that fit your specific needs or to receive additional information on E/M solutions, contact our compliance and education team at 1-800-650-6787.

About HCPro

HCPro provides the latest healthcare regulatory and compliance updates through industry-leading publications, continuing education, online coding platforms, instructor-led training, and consulting services. We focus on providing specialized solutions for every stage of the revenue cycle at healthcare facilities, including clinical documentation, coding, compliance, reimbursement, billing, denials, and more. Visit http://www.hcpro.com/.

About DecisionHealth

For over 30 years, DecisionHealth has served as the industry’s leading source for home health agencies and medical practices to receive the latest news, analysis, and regulatory guidance on Medicare coding and reimbursement, accreditation, benchmarks, payment, and HIPAA compliance. You also may know our flagship publications Part B News, Home Health Line, Medical Practice Compliance Alert, and Inside the Joint Commission, as well as a wide selection of coding books, educational events, and online tools. Visit http://www.decisionhealth.com.

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