ACOEM Tip Sheet on Coding Evaluation and Management Encounters for Workers’ Compensation
In 2021, the Centers for Medicare and Medicaid Services (CMS) implemented new rules for coding outpatient Evaluation and Management (E&M) encounters. Under the new rules, providers can now use time-based or medical decision making (MDM) based coding for encounters that follow CMS rules. Many, but not all, workers’ compensation (WC) insurance providers have also adopted the new rules. Therefore, ACOEM developed this tip sheet to assist providers of WC care in appropriately documenting care using the new coding model.
06/30/2021
By Marianne Cloeren, MD, MPH; Kathryn L. Mueller, MD, MPH; Douglas W. Martin, MD; Jill A. Rosenthal, MD, MPH, MA; Robert C. Blink, MD, MPH; Tanisha K. Taylor, MD, MPH, MBA