https://acpinternist.org/weekly/archives/2021/08/10/6.htm

New College resources help physicians with best practices for E/M documentation

New resources from ACP and the Electronic Health Record Association include guidance for general internal medicine specialists and subspecialists.


In collaboration with the Electronic Health Record Association, ACP has developed a set of resources to help physicians adapt to CMS’ 2021 evaluation and management code changes and accompanying clinical documentation requirements.

Visit the Practice Resources section of the ACP website to find tools that can help you determine how to make sure that you have included only those necessary elements in your clinical notes, while avoiding “note bloat” and other burdensome documentation practices. The resources include guidance for general internal medicine specialists and subspecialists, as well as considerations related to electronic health records.