Evaluation, Management, Coding, and Documentation: What All Psychiatrists In Clinical Practice Need to Know-Handouts: Slides

Handouts: Slides

Pdf Summary

This document provides information about evaluation and management (E/M) coding and documentation in clinical practice for psychiatrists. It includes details about an Emerging Topics Webinar Series offered by the American Psychiatric Association (APA) that covers relevant topics in psychiatry. The document also explains how to access handouts, participate in Q&A sessions during webinars, and earn continuing education credits.<br /><br />The key changes for E/M coding in 2023 are discussed, including the application of the 2021 Outpatient E/M Guidelines to all settings of care, the use of new codes for inpatient and nursing facility services, and the deletion of certain codes for home and residence services. The document emphasizes the importance of documentation and code selection based on Medical Decision Making (MDM) or time.<br /><br />The levels of MDM are explained, ranging from straightforward to high complexity, with examples provided for each level. The document also provides guidance on code selection for E/M services provided in conjunction with psychotherapy and how to document and divide the time spent on each component.<br /><br />Other topics covered include prolonged services, telehealth provisions, prescribing controlled substances post-pandemic, and key policy considerations for telemental health. APA resources and references for further information are provided, along with instructions on how to claim credit for attending the webinar.<br /><br />Overall, the document aims to educate psychiatrists about E/M coding and documentation requirements and provide guidance on best practices in clinical practice.

Keywords

evaluation and management coding

clinical practice

psychiatrists

Emerging Topics Webinar Series

2021 Outpatient E/M Guidelines

Medical Decision Making

time-based coding

MDM levels

telehealth provisions

telemental health