CMS proposes the implementation of an E/M expert panel

The Centers for Medicare & Medicaid Services (CMS) continues to move forward in pursuit of uniform national coding guidelines for facilities. Acknowledging the need for standard code definitions and guidelines, CMS proposed the implementation of an independent expert panel. This expert panel will recommend to CMS definitions and guidelines for clinic and emergency department evaluation and management (E/M) codes. It is intended that these recommendations be provided in time for CMS to include them in the proposed rule for calendar year 2004. CMS stated that organizations such as the American Hospital Association (AHA) and the American Health Information Management...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains CMS’s move toward uniform national facility coding guidance and its proposal to use an independent expert panel to advise on evaluation and management policy for clinic and emergency department settings. It also notes the role of stakeholder organizations and the broader rulemaking context for the early 2000s. The piece is relevant to hospital coders, facility compliance staff, and others tracking federal coding guidance development.

Why This Topic Matters

Readers who work with hospital facility coding, E/M policy, or CMS rulemaking will want to know how proposed national guidance may affect future coding standards and education efforts.

What You Will Learn

  • Why CMS is considering an independent expert panel
  • What settings the proposed E/M guidance would address
  • Which organizations are mentioned in connection with education and guidance
  • How the proposal fits into CMS rulemaking activity for the early 2000s

Who Should Read This

  • Hospital coders
  • Facility coding specialists
  • Compliance professionals
  • Revenue cycle staff
  • Health information management professionals

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