The changes to evaluation and management (E/M) services in 2021 and 2023 have led to mixed reactions among healthcare professionals. While some appreciate the simplification of criteria, confusion exists around the new medical decision-making (MDM) criteria. In 2021, AAPC introduced a clinical approach to help auditors with office visit services. With the 2023 updates affecting facility services, AAPC now emphasizes understanding patient-specific factors, problem severity, and associated risks. Clear documentation is crucial for accurate service level determination and reimbursement. AAPC offers solutions like audit services, corporate training, and Codify to ensure compliance and optimal reimbursement.

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