Medical Billing in 2021 Things to Expect
                     Medical Billing 
in 2021 – 
Things to 
Expect
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Introduction
• 2020 has been a challenging year for Global 
healthcare sector, which resulted in sweeping 
changes affecting healthcare and Medical billing 
outright. 
• With these challenges and changes anticipated to 
carry over, Medical Billing in 2021 as predicted will 
see a lot of updates, advancements, revised 
medical billing and coding guidelines, compliances 
and regulation. 
• Read further to educate yourself with the latest 
changes in Medical billing.
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Updates in Medical Coding for 2021 – Major overhaul of CPT codes in last 25 
years.
American Medical Associates (AMA) announced major 
updates in medical billing codes and guidelines for 
2021. Release of an updated version of CPT (Current 
Procedural Terminology) codes includes modification of 
codes for outpatient evaluation and management (E/M) 
services as listed below:
• Eliminating history and physical exam as elements 
for code selection.[1]
• Allowing physicians to choose the best patient care 
by permitting code level selection based on medical 
decision-making (MDM) or total time.[1]
• Promoting payer consistency with more detail added 
to CPT code descriptors and guidelines.[1]
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Updates in Medical Coding for 2021
Further to the above E/M coding changes; around 329 CPT codes have been edited for 2021 code set 
inclusive of
• 206 new codes – Important additions are in • Revision and addition of codes set for Retinal 
response to COVID- 19 Imaging and screening diabetic retinopathy and 
• 54 deletions  – CPT code sets are continuously increase early detection
modified to keep up with the fast-paced innovation • Descriptive codes for Artificial Intelligence (AI) 
in digital medicines and  technology augmented solutions
• 69 revision of existing codes – to meet the current • Of the new codes introduced, the majority of 
requirement codes are updated to cover the novel areas of 
• Updated CPT codes for technological advances in medicine and almost 63% involves in new 
Cardiac monitoring and detection technological services in healthcare.
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Unchanged Guidelines
While the revision of CPT codes is closely monitored for better reimbursement, it is of prime importance to know 
what remains the same.
  Guidelines for new and established patients remain intact
  Use of CPT code 99211 still remains unchanged.
  Requirement of clinical documentation by physicians
  CPT manual for shared/split services is similar to previous versions
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Tele-health and Telemedicine
 Tele-health and Tele-medicine emerged as the best solution during Novel COVID-19 Pandemic.
 It ultimately served as an alternative option for patient care by helping to maintain social distancing. 
 Owing to growth in Telehealth and Tele-medicine, related industry-based digital tools and information 
technology are trending. 
 Recent research concludes that majority of patients embrace Tele-health and digital interactions compared to 
regular medical services.
 As a result of the ongoing crisis and surge in the current requirement, Tele-health is expected to see about 
80% of growth.
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About US
Medical Billing Outsourcing About MGSI
 Medical Billing Outsourcing market is witnessing an  MGSI is a 25 years old national 
increased growth due to the changes and twist Medical Billing Company serving more than 600 
involved due to the COVID-19 pandemic and majorly physicians across US. MGSI has trained and 
because of the complexity in keeping abreast of the experienced medical billing and coding team 
recent CPT and ICD-10 coding guidelines, changes handling complete revenue cycle management 
in medical billing rules and regulations, etc. services to our clients. 
 Physicians and medical groups are considering  We also have the prerequisite to facilitate your 
Medical billing outsourcing to cope up with the medical billing and education your providers and 
industrial changes. team with all compliant and regulatory policies. 
 To know more about the recent changes in Medical 
Billing and to outsource your RCM process contact 
MGSI 
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THANK YOU!
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