Session Topic

Evaluation and Management Coding Changes: A Payer's Perspective

2020 Evaluation and Management Symposium: Virtual Conference

Presented Wednesday, September 23, 2020


Dr. Watson brings a payer’s perspective to our discussion of the upcoming changes to Evaluation and Management (E/M) coding and guidelines. Hear the private payer response to CMS and AMA decisions to implement changes to codes and their reimbursement beginning in 2021. Gain insight into reasons for changing the traditional methods of coding. Learn how these changes will impact payers, how they will respond, and if they are on board with them. Find out what works - and doesn’t – regarding E/M changes from the position of a medical director for a major health insurance carrier.

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  Fredrick "Rick" Watson, DO, MBA — Medical Director, Cigna Healthcare
Dr. Watson’s main responsibilities for CIGNA in the North Texas and Oklahoma region include: Physician and Facility engagement, Total Market Cost oversight, Strategic planning and Client Sales Support. He also chairs the West National Credentialing and the National Peer Review Committees. He previously served as the Senior Medical Director for the Texas Market of HealthSpring, Inc, a Medicare Advantage company.

Dr. Watson graduated from the Kirksville College of Osteopathic Medicine in Missouri in 1997. He completed his internship and residency in family practice at Botsford Hospital in Farmington Hills, Michigan, where he was named chief resident in 1999-2000. During that time, he also completed a fellowship in medical education and teaching through the Statewide Campus System and Michigan State University. After practicing for 8 years, Dr. Watson obtained an MBA from the University of Tennessee Knoxville, which spurred his interest in the administrative aspects of medicine. In 2015 he was named one of the “Most Influential People in Medicine” in Dallas-Fort Worth in the Dallas Business Journal.