HCCIntelligence™ Webinar Recording: 2021 Coding: Impacts for Home-Based Providers and Practices

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The "2021 Coding: Impact for Home-Based Providers and Practices" webinar held on January 20, 2021, highlighted crucial updates and changes in coding practices driven by the Medicare Physician Fee Schedule (MPFS) Final Rule. The presenters, Paul Chiang, MD, and Brianna Plencner, CPC, CPMA, focused on several key points:<br /><br />1. **Documentation Changes for E/M Services**: Changes apply specifically to office settings, with office visit CPT 99201-99215 no longer using 1995 or 1997 documentation guidelines. Providers can bill based on time or the level of medical decision-making as defined by the AMA. These changes do not affect home and domiciliary visits.<br /><br />2. **Level of Service Requirements**: Established home visit service levels require meeting specific criteria, focusing on the documentation of history, examination, and medical decision-making, and can also be time-based, especially when dominated by counseling or coordination of care.<br /><br />3. **Payment Comparison**: The webinar provided detailed comparisons of national non-facility payments from 2020 and 2021 for various CPT codes, showing minor adjustments.<br /><br />4. **Telehealth Services**: During the Public Health Emergency (PHE), telehealth waivers allow greater access, but the home is not a permanent originating site except under the SUPPORT Act. Various CPT codes have been permanently or temporarily added to the telehealth list.<br /><br />5. **Transitional and Chronic Care Management**: Adherence to new templates for Transitional Care Management (TCM) is crucial, covering aspects such as discharge details, medication reconciliation, and follow-up needs. Chronic Care Management (CCM) updated codes and new add-on codes were also discussed for effective ongoing monitoring.<br /><br />6. **Remote Patient Monitoring (RPM)**: The webinar highlighted RPM services and billing codes, including initial setup, device supply, and management services. Proper adherence to these codes can help optimize revenue.<br /><br />7. **COVID-19 Vaccine Administration**: Detailed information was provided on the administration, documentation, and coding for COVID-19 vaccines, reinforcing the process of patient chart review, counseling, and updating patient records post-vaccination.<br /><br />In summary, the webinar emphasized adapting to new coding practices, effective documentation, leveraging telehealth, and optimizing care management services to improve billing and compliance in home-based healthcare settings.

Keywords

2021 Coding

Home-Based Providers

Medicare Physician Fee Schedule

E/M Services

Telehealth Services

Transitional Care Management

Chronic Care Management

Remote Patient Monitoring

COVID-19 Vaccine Administration

Billing and Compliance