E & M Coding
In January of 2023, the Center for Medicare and Medicaid Services (CMS) radically changed how inpatient consultation services should be coded and billed. The new system was described in an excellent Workshop at the 2023 Annual Meeting. You can access the presentation here.
Cracking the Code: A Guide to 2023 E/M Coding Updates. Co-sponsored by ACLP's Division Director's SIG and Business of C-L Psychiatry Subcommittee
Stephanie Cho, MD (she/her/hers), Director, Consultation-Liaison Psychiatry Services, Keck School of Medicine of the University of Southern California (USC), Los Angeles, California; Junji Takeshita, MD, FACLP, DFAPA, Clinical Professor, Department of Psychiatry, John A. Burns School of Medicine Honolulu, Hawaii; James Kimball, MD, FACLP, DFAPA (he/him/his), Clinical Professor of Psychiatry and Behavioral Medicine, Atrium Health Wake Forest Baptist Medical Center, Winston Salem, North Carolina; Andrea DeSimone, DO, Chair, Department of Psychiatry, Bayhealth Medical Center, Camden Wyoming, Delaware; Patrick Ying, MD, DFAPA, Assistant Professor of Psychiatry, NYU Grossman School of Medicine, New York, New York
Dr. Stephanie Cho: basic concepts in E/M coding and its use by healthcare systems to determine resource allocation (5 min). Slides.
Dr. Junji Takeshita: time-based coding requirements, with specific reference to changes in how time is measured (15 min). Slides.
Dr. James Kimball: medical decision making (MDM) based coding requirements, with attention to changes in determination of complexity (15 min). Slides.
Dr. Andrea DeSimone: coding strategies for unique circumstances including working from home, providing critical care services, or returning outpatient phone calls (10 min). Slides.
Dr. Patrick Ying: tools to support accurate and appropriate billing, including demonstration of an online coding calculator (10 min). Slides.
A summary Handout is accessible here.