RCM Challenges: Unraveling E&M 2023 Code Changes

Leigh Poland & Linga Prabhu

June 27, 2023

The world of healthcare coding is evolving with the new Evaluation and Management (E&M) 2023 code changes. After nearly 25 years, these E&M code changes promise to reduce the administrative burden for physicians and coders while refining patient care. The shift underlines the healthcare sector's commitment to streamlining processes, improving efficiency, and emphasizing medical decision-making over paperwork. These improvements come on the heels of exciting new healthcare technology advancements critical to enhancing ROI.

What does this overhaul mean for practitioners, coders, patients, and the healthcare ecosystem?

Michelle Dawn Mooney speaks with Leigh Poland, Vice President, Coding Service Line at AGS Health, and Lingaraja Prabhu, Executive Director, Coding, at AGS Health, about this significant transformation. In this episode, they discuss the recent E&M code changes and their impact on various stakeholders.

Key conversation points include:

  • Significant changes in E&M 2023 guidelines compared to the previous ones from 1995 and 1997
  • The transition journey from previous guidelines to the 2023 version and its effect on denial management and post-submission audits
  • The benefits of the new guidelines for physicians, coders, and patients and the challenges they pose


Questions? We're here to help.

Any comments or questions for our experts? Want to schedule a meeting to talk about how AGS Health can help you? Simply fill out the form and we'll be in touch shortly.

Podcast – Unraveling E&M 2023 Code Changes

Leigh Poland

Leigh Poland RHIA, CCS


Leigh has over 20 years of coding experience and has worked in the coding and education realm over the last 20 years. Her true passion is coding education making sure coders are equipped to do their job accurately and with excellence. Academically, Leigh has graduated from Louisiana Tech University with a Bachelor of Science. Leigh has had the opportunity to present many times in the past at the AHIMA, ACDIS, and AAPC National Conventions. She has been a guest speaker on AHIMA webinars and has written several articles that were published in the AHIMA Journal. Leigh has traveled the US and internationally providing coding education.

Lingarajaprabhu Sadayandi

Lingaraja Prabhu S


Linga has over 17 years of experience with extensive knowledge in US healthcare, Clinical Practice, and deep expertise in Medical Coding, Auditing, Compliance, Operations, and Program Management.
He is a Certified Professional Coder (CPC from AAPC), Certified Project Management Professional (PMP) from Project Management Institute (PMI), and a Certified Six Sigma Green belt. He has graduated in Physiotherapy and is certified in Leadership Principles from Harvard business school online.