In this column, coding expert Betsy Nicoletti addresses new coding rules for 2021. She also examines whether surgeons can bill for care unrelated to the surgery while doing rounds after the procedure.

The new E/M guidelines reflect changes made by The American Medical Association (AMA) and have been incorporated into the latest edition of the AMA’s medical coding manual, CPT 2021.

Coding and documentation guidelines for E/M services were also revised for the first time in more than 25 years. These changes are significant, and they deserve a closer look.

A handful of payers were flagged throughout 2021 by HHS' Office of the Inspector General for coding or reimbursement errors.

During the February 2019 CPT panel meeting, the American Medical Association discussed changes that would significantly impact office and outpatient evaluation and management coding, ICD-10 Monitor ...

Differential coding by Medicare Advantage plans appeared to have pushed their risk scores higher than traditional Medicare's scores. Those greater risk scores led to $33 billion in extra revenue ...