American College of Physicians: Internal Medicine — Doctors for Adults ®

Advertisement

ACP will work to modify 'punitive' E/M guidelines

From the February 1998 ACP Observer, copyright 1998 by the American College of Physicians.

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.

This is a printer-friendly version of this page

Print this page  |  Close the preview

Advertisement

Share

 
 

Internist Archives Quick Links

Annals Virtual Patients Series 1-4 Available

Annals Virtual Patient series 1-4 available

Annals Virtual Patients is a unique online patient simulator that helps you learn while you earn CME Credit and MOC Points.
Start your journey now.

 

ACP keeps you on target to earn MOC Points

ACP keeps you on target to earn MOC Points

December 2015 is the deadline for most internists participating in ABIM MOC to earn some MOC points. Review our stimulating and rewarding options.