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Home > Audio Learning Center > Medical Necessity and Nature of the Presenting Problem

Medical Necessity and Nature of the Presenting Problem

Date:Thursday, February 25, 2021
Time:12 noon to 1:30 p.m. Central Time
Course fee:$49 Special Presentation
Presented by: Maxine Collins, MBA, CPA, CMC, CMIS, CMOM

Webinar/Audio Conference FAQs

Back by popular demand – join us for this rebroadcast of a PMI favorite. Providers and medical coders have struggled for years with the Official Guidelines for E/M services, ever since their origin in the 1990’s. In 2021 some of these guidelines will change. Now is the time to thoroughly review the details on these changes and evaluate the expected impact on your offices and clinic operations. Although the changes only directly affect the office and other outpatient E/M codes for 2021, they may set a trend for potential changes in other E/M codes in the future. In addition to the AMA & CMS guidelines, there are also various policies, coverage determinations and requirements that must be consider for each major payor.

Join Maxine Collins on this journey to achieve a greater understanding of the proposed rules that you must be prepared for and implement by January 1. Focusing on two specific items – Medical Necessity and Nature of the Presenting Problem, Maxine will present pertinent facts and explore questions regarding these essential factors in E/M Coding. These are very important in the process of determining the correct level of care documented for billing E/M codes 99202-99215.


  • Medical Decision Making vs Time
  • Modifications to MDM criteria
  • The role of history and exam in 2021
  • Medical necessity for preauthorizations
  • Impact of carrier claims processing edits

Continuing Education Units (CEUs)

PMI CEU APPROVED Earn 1.5 PMI CEUs for attendance at this program. Practice Management Institute grants CEUs for its certified professionals based on total number of instructional hours (1 CEU per hour of classroom instruction). CEUs may be applied to annual recertification requirements, as directed in the certification renewal requirements for your credential(s).

If you are seeking CEU credits for other certifications or organizations, please contact your organization for pre-approval and credit guidelines. A certificate of attendance will be provided.

Please read below before completing your webinar registration.

Have you heard about PMI's TOTAL ACCESS Webinar subscription program? TOTAL ACCESS puts a full library of training in the hands of your entire staff for a monthly fee of just $249. TOTAL ACCESS is the newest way to develop your own talent, without leaving the office to attend training classes. It's also the fastest way to bring both experienced and new staff up-to-date on current issues.

Sign up now and you'll receive this webinar plus the following benefits for as long as you subscribe: access codes to all upcoming live webinars and unlimited access to the TOTAL ACCESS Library, more than 300 hours of on-demand, pre-recorded training sessions on over 100 topics relevant to medical office coding, billing, compliance, management, front desk, and much more. It's a GREAT VALUE!

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About the Presenter

Maxine has more than 30 years of experience in medical practice management, adult education, and general business. She is the former administrator for a multi-specialty clinic, and has taught numerous practice management, accounting and business communications courses at various levels at Midwestern State University in Texas. She has extensive experience as a practice consultant and has taught both administrative and clinical personnel.

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