ACP will work to modify 'punitive' E/M guidelines
Noting that HCFA's new guidelines for documenting evaluation and management (E/M) codes billed to Medicare are excessive and "have little relationship to clinical care," ACP's Board of Regents last month said ACP will work to modify the rules.
As currently planned, the new E/M documentation guidelines will be enforced starting July 1. College leaders said they were particularly concerned that the purpose of these guidelines, which were developed jointly by the AMA and the federal government, seem to be more punitive than educational. HCFA plans to conduct prepayment audits of a 1% sample of doctors' records and deny payment if these documentation guidelines are not followed adequately. This action "will subvert the primary use of the medical record as an instrument of clinical care," the Regents concluded.
The Board said the College will work with other medical societies to develop specific recommendations for changes that could reduce the burden of the guidelines. ACP will also push HCFA to find a non-punitive way to assure consistent and documented use of E/M codes.
Internist Archives Quick Links
Internal Medicine Meeting Early Registration Discount
Register early for Internal Medicine Meeting 2015 in Boston, MA to lock in the lowest possible rate. Learn more or register now!
Are You Using ACP Smart Medicine®?
This online clinical decision support tool is a FREE benefit of ACP membership delivering point-of-care access to evidence-based recommendations. Includes more than 500 modules, images and reference tables. Start now or watch the video tour.