April 15, 2026
Event date May 21st, 2026
Guest presenter Seth Canterbury
Though the 2021/2023 changes to E/M coding eliminated much of the counting and confusion from the process of selecting an E/M level, Data scoring arguably became more complicated due to these changes, which has resulted in ongoing uncertainty as to when certain aspects of Data should be credited.
Question: When auditing MDM, is there a list of drugs that are considered “drug therapy requiring intensive monitoring for toxicity?” Answer: Not from the AMA or CMS. Some MACs or third parties may have lists. Here’s the definition:
There are three elements in medical decision-making and this article describes the second, arguably, the most complex of the three elements When selecting a level of service based on medical decision-making two of the three elements are required CPT® has developed definitions for many of the components in the MDM chart. This article describes the definitions […]
Question: Can a practitioner get credit for both ordering and interpretation of a test if documented? Can you address the change from 2023 related to this? Watch this brief video or read on for the answer. Answer: In March of 2023, CPT® issued an “Errata and Technical Corrections” which added one line to the section […]
Recorded September 11th, 2025
1 CEU expires 9/30/26
Guest presenters Pam D’Apuzzo and Debra Rossi of VMG Health
The risk of additional diagnostic testing and management is distinct from the risk of the condition itself. Risk also includes the decision to forgo treatment, but what is the best way to document that?
Recorded July 10th, 2025
1 CEU expires 7/30/26
Guest presenters Pam D’Apuzzo and Debra Rossi of VMG Health
Crediting data elements and explaining rules about crediting data elements is complicated. Pam and Deb will describe these and optimal documentation practices, including practical, citation-based advice and recommendations for auditors.
Recorded May 22nd, 2025
1 CEU expires 5/30/26
Guest presenters Pam D’Apuzzo and Debra Rossi of VMG Health
Combining CPT® guidance and audit experience, this session addresses definitions and documentation for the first element of medical decision making, the number and complexity of problems addressed. It includes guidance for all problem levels in the E/M grid.
Recorded April 24, 2025
1 CEU expires 4/30/26
Guest presenter Seth Canterbury
When the method for selecting the level of E/M services was changed for 2021 (office visits) and 2023 (other visits), the concept of “risk” underwent significant revision. No longer was this concept confined to just one element/subcomponent of MDM.
E/M elements for MDM There are three elements in medical decision-making and this article describes the first of three When selecting a level of service based on medical decision-making two of the three elements are required CPT® has developed definitions for many of the components in the MDM chart. The examples listed in the definitions […]
The third element of MDM: risk of complications and/or morbidity or mortality of patient management at the encounter Coding for E/M Services There are three elements in medical decision-making and this article describes the third, the risk of complications and/or morbidity or mortality related to patient management When selecting a level of service based on […]
Question: When using the E/M guidelines, is the problem an acute, uncomplicated illness or an acute illness with systemic symptoms? Answer: Codes for Visits in Assisted Living (and a Visit Complexity Update for 2026!) Acute, uncomplicated illness Acute illness with systemic symptoms From CPT®: A recent or new short-term problem with low risk of morbidity […]
How is risk assessed when selecting a level of E/M service? We know that the risk of additional diagnostic testing/procedures and management is one of the three elements that determines the level of service, when MDM is used to select a level of E/M. But, how about the risk of the condition itself? This short […]
Recorded September 28, 2023
Guest Presenters Pam D’Apuzzo and Debra Rossi of VMG Health
Medical practices can prepare for audits, improve documentation and decrease compliance risk by sharpening their focus on high-risk areas, high volume services, identifying confusing areas of MDM. Then, develop consistent guidelines from appropriate resources.
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