Bulletin

2021 E / M (Evaluation and Management) Updates

Having questions about the 2021 E&M guideline changes for office visits?

January 5, 2021

Question: Since history and physical exam are no longer required to level the visit, should I still document these elements? Answer:  Yes. Although history and physical exam are no longer requi9red to level the v…

Understanding the Complexities of Each Defined Condition & How to Document

December 22, 2020

Self-limited or minor problem: A problem that runs a definite and prescribed course, is transient in nature, and is not likely to permanently alter health status. Stable, chronic illness: A problem with an expected dur…

2021 E&M Guideline Changes

December 11, 2020

E&M changes in 2021 overview

Insurance Updates

Excellus BlueCross BlueShield Reinstating Reimbursement for Preventive Health Visits for Children and Adults via Telehealth During the Public Health Emergency

December 31, 2020

Excellus stresses that this is an option, not a requirement, and they strongly encourage in-person visits whenever possible, consistent with recent recommendations from the Centers for Medicare & Medicaid Services …

Notification to Providers Regarding Changes to Compliance Certification Requirements Pursuant to New York State Social Services Law (SOS) §363-d

December 30, 2020

UnitedHealthcare Temporary Prior Authorization Program Changes-- COVID-19

December 22, 2020

SNF prior authorization: UnitedHealthcare is suspending prior authorization requirements for admission to in-network SNFs. Transfer prior authorizations: UnitedHealthcare suspending prior authorizationrequirements w…

Coding Updates

Telehealth Grid

December 3, 2020

Documentation: Patient initiated and consent (written or verbal) Same as any face-to-face patient encounter, with the addition of the following: A statement indicating the service was provided via telehealth: P…