E/M Coding Updates 2025: What Every Provider Needs to Know

Description

Over the past 4 years, the American Medical Association and the Center for Medicare and Medicaid Services have implemented new guidelines for Evaluation and Management Services. The first changes involved Office and Outpatient visits, and then, 2 years later, changes were made to Evaluation and Management services for the hospital, skilled nursing facility, and other resident facilities.

As the new guidelines were being used, clarifications and revisions had to be made to assist providers in applying the guidelines as described. In this event, we will go over the guidelines and also discuss the 2025 updates to this chapter of CPT.

Learning Objectives

Attendees will not only understand the code visit changes for 2024, but they will learn firsthand the reasoning behind these changes and appropriately application for compliant, clean claims.

They will also gain enough knowledge to educate others within their office, so that all are aware.

Areas Covered

• Look at the 2021 and 2023 guidelines for Evaluation and Management services.
• The appropriate reporting of shared/split visits.
• 2025 changes and revisions to CPT for Evaluation and Management
• New assignments for using the time.
• More Information regarding consultations
• A deeper look at prolonged services
• A job aid to see what prolonged add-on code is assigned to each section of E/M
• Utilizing time to report multiple visits in a day
• Revisions to the table of risk
• Medicare code G2211
• Telehealth after 2024
• Other changes by CMS.

Background

Auditors are still seeing errors in the level of service being reported is not supported by the documentation. Any are not following the guidelines rules spelled out in 2021 and 2024.

Why Should You Attend

In knowing and understanding the coding changes for 2025, denials and delays in claims processing by insurance companies that hold up reimbursement will be avoided, and the office cash flow will be maintained. Visits are always being scrutinized by insurance carriers, but the fact is that these services are the most expensive to the insurance companies of any service or procedure. An audit by an insurance company, if errors are found, could cost a provider and/or practice refunds of the services and possible fines and penalties.

Who Should Attend

• Physicians
• Nurses
• Physicians assistants
• Billers
• Coders
• Surgery schedulers
• Claims adjusters
• Collection staff
• Managers.
  
  Speaker: Lynn Anderanin
  Lynn Anderanin CPMSM, PESC is an expert in credentialing and provider/payer enrollment with over 23 years of experience in the healthcare industry. Lynn Anderanin has a deep understanding of Medicare & Medicaid enrollment and is a nationally certified credentialing manager and provider enrollment specialist. Through, YS Credentialing PLLC, Lynn Anderanin helps organizations develop and implement best practices guidelines and processes. Guides the credentialing and payer enrollment structure. Thrives on training and growing administrative, credentialing and enrollment healthcare professionals.
  
  After Registration:
  Once you register, you will receive a confirmation email with login credentials and access to presentation materials. These resources are downloadable and may be shared with team members at your location for training.

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● Audio: A functioning headset or speaker with a microphone is encouraged for interactive sessions and a clear audio experience.

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If for any reason ConferencePanel must cancel or reschedule the session, registered participants will be notified via email no later than 24 hours before the session start time.

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