2021 E/M Office Visit Reference Guide

The new 2021 E/M documentation guidelines are set to take effect Jan. 1, 2021, and are expected to create a sea change in how medical practices select a level of E/M service. The revised reporting requirements mark the first significant update in more than 20 years since the release of the 1995 and 1997 documentation guidelines.

The 2021 E/M Office Visit Reference Guide delivers a comprehensive overview of the new E/M documentation guidelines and a clear, in-depth analysis of the 2021 changes, including the confusing new medical decision-making (MDM) guidelines so that you can ensure a seamless shift to the new guidelines.

Use the 2021 E/M Office Visit Reference Guide to train staff, reduce the risk of miscoding and the denials and audits that may result, and lessen the disruption to a key revenue stream. E/M office visits account for 20% of total physician fee schedule charge. In 2018, practices gained $15.6 billion in payments from Medicare for the suite of E/M office visit codes 99201-99215.

Additionally, the 2021 E/M Office Visit Reference Guide will help you:

• Guarantee a successful and smooth transition to the new system with best practices on how to revise superbills and templates; what to know about working with third-party vendors such as electronic health record (EHR) providers; and how to manage two different E/M systems simultaneously.
  
  
• Ensure your coders are accurately selecting the correct level of service for E/M office visits with office and staff training tips, including separate breakout sections for coders and clinicians; audit safeguards; and more.
  
  
• Train clinicians on the 2021 documentation changes with several dozen documentation scenarios that clearly illustrate how a coder/clinician should accurately select a Level 1, 2, 3, 4 or 5 E/M code. The book will present scenarios tailored to specific specialties.
  
  
• Understand the level of medical decision-making or time for code selection with comprehensive coverage of MDM and time elements.

MDS 3.0 RAI User's Manual

This version of the MDS 3.0 RAI Manual incorporates clarifications to existing coding and transmission policy; it also addresses clarifications and scenarios concerning complex areas. Since the preliminary release of the manual on May 20, 2019, changes have been made to clarify which assessments swing bed providers must complete; the definition of the “interruption window” for interrupted Part A-covered stays; the coding of item I0200B; and changes related to group therapy policies, as well as other corrections.

Purchasing a copy of this updated MDS 3.0 RAI User's Manual will help you: 

• Remain compliant and informed with the latest updates
• Complete the MDS using the government’s word-for-word instructions 
• Save money with this budget-friendly alternative to other manuals on the market
• Complete assessments, ensure proper reimbursement, and provide quality care for your residents

The Guide for Graduate Medical Education Offices and Program Coordinators

The Guide for Graduate Medical Education Offices and Program Coordinators provides the office of graduate medical education (GME) and program coordinators the guidance need to successfully run a GME program together. Author Vicki Hamm, C-TAGME, provides how-to guidance and tools for implementing ACGME Institutional Requirements, institutional policies, crafting resident/fellow contracts, managing evaluations, maintaining program accreditation, and other daily duties. This book contains sample policies and forms to customize for your institution.

This book will guide your GME operations so that you can achieve compliance with ACGME requirements; support your program directors, and faculty; and most importantly, produce trainees who become skilled physicians as they move from the educational continuum to the independent practice of medicine.

This handbook will help you:

• Meet ACGME Institutional Requirements through solid policies and procedures
• Develop strategies for protecting the time of program directors, coordinators, and faculty
• Keep up with continuous accreditation requirements, including CLER visits and the 10-year self-study
• Manage evaluations and report program performance measures
• Conduct special internal reviews to help underperforming programs
• Establish a competent and confident GME committee