“I am trying to get a handle on the 2021 E/M changes. The question I have is about the defining pathology/diagnosis as “acute” versus “chronic.” This is critical in the portion of the medical decision making. What do the guidelines tell us about these definitions?”
Prestera Health, the largest behavioral health services provider in West Virginia, serving the counties of Boone, Cabell, Clay, Kanawha, Lincoln, Logan, Mason, Putnam and Wayne in West Virginia experienced a data breach through their email system.
For the 2020 performance period, CMS is using the Extreme and Uncontrollable Circumstances policy to allow clinicians, groups, and virtual groups to submit an application requesting reweighting of one or more MIPS performance categories due to the COVID-19 pandemic. As an additional flexibility, CMS has extended the deadline to submit a COVID-19 related 2020 extreme and uncontrollable circumstances application to February 1, 2021.
“In the past, it has been postulated that a doctor had the option of using a fracture code or using E/M codes
to bill for fracture care. With the upcoming changes to E/M reimbursement, it would seem that billing using
E/M codes might make for sense for fracture care. Are there any thoughts on these changes upcoming for