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The current E/M coding guidelines have been in effect for more than 25 years—despite the healthcare industry experiencing momentous change. That all changes in 2021 when medical decision making (MDM) and time become the primary factors for selecting the proper codes.
For urgent care providers, the upcoming coding revisions should be a welcome change. The changes are designed to give providers full credit for the time they spend throughout the entire patient encounter. For example, providers will be able to accurately document the complete approach they took to reach a final diagnosis for a patient—from initial thought processes and research to treatment planning.
As providers and clinic staff prepare for the coding changes in the year ahead, here are four helpful tips to help navigate the new process.
Since most clinics do not currently track time, determine best practices and a method for how you want your team to manage tracking.
On January 1, Experity’s built-in coding engine automatically updates with the new E/M codes to give urgent care clinics increased operational efficiency and accurate, streamlined coding practices. With Experity’s built-in coding engine, the EMR automatically calculates codes based on documentation in the patient’s chart. On the code summary page, providers can review these codes and add their time. The system will then determine which factor to use for billing based on the highest code achieved for the encounter.
Watch our on-demand webinar, “An essential guide to E/M coding: Part 1” for an in-depth look at why the E/M codes are changing, how it will improve urgent care, and ways your clinic can prepare.