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Significant Billing Coding Changes Coming January 1, 2023

Evaluation and Management (E&M) documentation and coding is the system in which physicians and other healthcare professionals represent their services for purposes of billing. Historically, E&M code selection was based on either key components of history, physical and medical decision making or face-to-face time. Beginning in January 2021, office (outpatient) visit coding was simplified so that it could be based only on medical decision making or time spent on the date of service.

Beginning in January 2023, similar new billing changes will take effect for most inpatient work and for consultations (outpatient and inpatient). For both inpatient work and consultations, E&M codes will be selected based only on medical decision making or total time on the date of service.

These changes will hopefully simplify a clinician’s workflow and impact RVU productivity. We will be disseminating information via webinars and via a MyLearning module. ​You may earn CME by attending one of the four identical webinars live; they will also be recorded.

The webinars are scheduled as follows (click the links below to add the events to your calendar):

There will also be additional training sessions in January and February.

Additional information can be found at the Office Johns Hopkins Physicians Education and Training website.

Review the latest Coding Alert (Bi-Weekly) Newsletter on this topic here.

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Kelsey Bennett

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