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The teaching physician rules provide payment to an attending physician for services performed jointly by an attending and a resident. CMS updated these rules significantly in 2019 and 2020. This webinar will describe the changes to documenting E/M services and in using notes documented by students. It will also review the rules for minor and major surgical procedures, endoscopy, critical care and psychiatry. The webinar will briefly describe temporary rules in place during the public health emergency.

At the end of the webinar, participants will be able to:

• Identify who may document the attending’s participation for E/M services
• Describe what the attending must document to use documentation by students
• Delineate required documentation for major and minor procedures

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2021 brings a new CPT prolonged services codes for use only with 99205 and 99215 and changes the rules for face-to-face prolonged care codes 99354, 99355 and non-face-to-face prolonged care codes 99358, 99359. Complicating the use of the new CPT prolonged services code is that CMS is proposing different time thresholds than those published in the draft CPT document. This webinar will describe how to use the new prolonged services codes, show the time thresholds published (as of the date of the webinar) by CPT and CMS and describe the changes to the existing face-to-face and non-face-to-face prolonged care codes

After the webinar participants will be able to:

• Use the new, 15-minute prolonged care code with 99205 and 99215
• Describe the coding rule changes to existing prolonged care codes 99354, 99455, 99358, 99359
• Know when to use office and outpatient visit codes without an add-on prolonged care code, based on time

p.s. What is the new CPT prolonged services code? We’ll find out when we get the 2021 CPT book. Right now, CPT and CMS are using a placeholder code, 99XXX.

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There is often excitement and anticipation about CMS’s Proposed Physician Rule, due to be released at the end of June. The rule can be boring (wage index changes for practice expense) and exciting (E/M policy changes). This year, we will be looking at CMS’s values for the revised E/M services, which they told us about at the end of 2020. And, even more important, what will the conversion factor be, and how will the E/M changes and conversion factor update change revenue, by specialty. CMS also includes a section on telehealth each year, and while CMS has not committed to keeping the new telehealth rules, they will certainly discuss telehealth in the proposed rule.

This webinar will provide a high-level overview of the policy changes that CMS discusses in their 2021 proposed rule.

At the end of the session, participants will be able to:

• Describe the timeline for comments and the final rule
• List policy changes proposed for 2021
• Define the timeline for changes to new and established patient visits codes