Auditing Office E&M Services – Is it a Level 3 or Level 4?

Jill M. Young

Jill M. Young

Jill M Young is the Principal of Young Medical Consulting, LLC. A company founded 18 years ago to meet the education and compliance needs of physicians and their staff Jill has over 40 years of medical experience working in all areas of the medical practice including clinical, billing and rounding with physicians. Her unique style of working...
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July 30, 2024
01:00 PM ET | 12:00 PM CT
60 Mins

In the recent years, significant changes were made in CPT for the code set Office and Other Outpatient Services.  In addition to changing the requirements for the history and physical exam, the level of service is now determined exclusively based on a new Elements of Medical Decision-Making Table or on the total time of the visit (time spent on allowed activities). 

Since the change occurred, many providers have struggled to determine if a visit has Low or Moderate Medical Decision Making (MDM), corresponding to a level three or four visit. This session by industry expert speaker Jill M. Young will offer easy-to-follow examples of the subtle differences that can occur between the two levels.  

Webinar Objectives

To effectively distinguish between moderate and low medical decision-making, it's crucial to understand the individual components of the Elements of Medical Decision-Making table. While some aspects are well-explained by the AMA, others lack clear definitions in both CPT Guidelines and AMA releases.

This webinar aims to provide a comprehensive understanding of each item in the Elements of Medical Decision Making, enabling participants to accurately differentiate between level 3 and level 4 office visits.

Webinar Highlights

  • Overview of AMA’s document on the changes to Office & Other Outpatient Services in 2021
  • Overview of the table of Elements of Medical Decision Making
  • Requirements of moderate and low medical decision-making
  • Practical application of the requirements of MDM
  • Sample scenarios

Who Should Attend

Coders, billers, auditors, office managers, practice managers

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