Skip to content

Medicine Matters

Sharing successes, challenges and daily happenings in the Department of Medicine

Medicine Matters Home CME Significant Billing Coding Changes Coming January 1, 2023

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 face-to-face 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:

  • November 29, 2022, 5:30 p.m. - 6:30 p.m.
  • December 8, 2022, 7:00 a.m. - 8:00 a.m.
  • December 15, 2022, 12:00 p.m. – 1 p.m.
  • December 29, 2022, 5:30 p.m. – 6:30 p.m.

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.

Webinar: November 29, 2022, 5:30 p.m. - 6:30 p.m.

Title: 2023 AMA E&M Inpatient Guideline Changes: Case Examples Review for Clinicians (November 29, 2022 Session)

Speakers: Maura McGuire, MD, FACP, CPC, and Toya Campbell, CPC, CHC

Remote Viewing Link:

https://jhjhm.zoom.us/j/91970557925?pwd=VkpScEZLY2Rja2V2c095Slc3cWxJUT09

To ensure optimal listening experience, please choose the “Join with computer audio” option when prompted, if possible. If not, please use info call in info below:

Call in #: 646-558-8656 Meeting ID:  919 7055 7925 Passcode: 742389

Click here to access the Medical Case Conference Series Webinar Evaluation 

*This presentation is intended for clinicians who render services in an inpatient setting* 

Learning Objectives:

  • Review E&M 2023 changes for hospital services
  • Review consultation and prolonged services
  • Examine case examples utilizing the MDM and time-based rules

Speakers Short Bios:

Dr. Maura J. McGuire is an Associate Professor of Medicine at the Johns Hopkins University School of Medicine and Senior Director of Education for the Office of Johns Hopkins Physicians (OJHP) and Johns Hopkins Community Physicians (JHCP).

Toya Campbell is the Sr. Director of Compliance & Training for Johns Hopkins Medicine with more than 30 years of combined experience in hospital and physician revenue cycle management, healthcare compliance, and process improvement.  As Senior Director, she oversees all aspects of professional fee billing compliance activities for Johns Hopkins Medicine.

CME:

This webinar qualifies for ONE AMA PRA Category 1 credit(s)TM . Please note CME credit is available for live viewing only.

The CME Code will be announced during the webinar.

Please note: you need a CLOUDCME profile to claim CME credit, below are the instructions to create an account:

  • Open CloudCME site  https://hopkinscme.cloud-cme.com/aph.aspx
  • Click on the SIGN UP NOW (yellow) button.
  • Complete the form, make sure you put your cell phone number in the proper field.
  • Click submit, a minute or so later, you will receive a text message to confirm your profile.
  • You are now ready to use the system..

Activity Objectives:

After participating in this activity, the learner will demonstrate the ability to:

  • Employ a multidisciplinary, cooperative, and iterative approach to the exchange of medical education across the breadth of Johns Hopkins Medicine and affiliate practitioners and educators.
  • Improve the safety and quality of patient care by analyzing systems-based and practice-based processes.
  • Translate recent research, new techniques, guidelines, etc. to clinical practice, based on the methodological quality of their design, validity, and applicability to patient care.
  • Foster communication among healthcare stakeholders by exploring and integrating patient-centered, team-based strategies, when appropriate.
  • Compare and contrast patient outcomes of past cases with current one to inform treatment strategies.
nv-author-image

Kelsey Bennett

1 thought on “Significant Billing Coding Changes Coming January 1, 2023”

  1. Pingback: Epic Tips: November 23, 2022 | Medicine Matters

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.