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
Prescribe Opioids Safely
Access this FREE online educational program to help you safely prescribe opioids and manage patients with chronic pain. Online CME is available. Find out more.
Inspire the Next Generation of Medicine
Contribute to the ACP Education Fund and support our profession and the young minds starting their careers.
Share your love of medicine by making a charitable donation today! All donations are tax-deductible.