BC Advantage - 2022 Issue 11
Chutes and Ladders E/M Style
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Article Overview
This article discusses broad evaluation and management documentation changes and the operational impact they may have on physicians, coders, auditors, and support staff. It is aimed at readers who want to understand the shift in documentation expectations, the need for education and audit preparation, and practical ways organizations can help providers adapt during the transition.
Why This Topic Matters
It helps coding and compliance teams understand a significant documentation workflow transition and prepare internal education and audit support before the changes take effect.
Article Sections
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The evolution of E/M documentation expectations
A historical overview of how evaluation and management documentation expectations changed over time and how those shifts affected providers and coders.
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Current and upcoming changes
Discussion of the more recent transition period and the broader move toward a different documentation mindset for providers across care settings.
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Preparing providers and staff for transition
Practical guidance on education, feedback, and team involvement to support a documentation transition within an organization.
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Author and organizational information
Background information about the author and the educational organization associated with the article.
What You Will Learn
- How evaluation and management documentation expectations have evolved over time
- Why the transition in documentation approach matters for office and inpatient settings
- What kinds of education and feedback can help providers adapt
- Which staff groups may be affected by documentation workflow changes
Who Should Read This
- Medical coders
- Medical auditors
- Physicians
- Mid-level providers
- Practice managers
- Compliance officers
- Billing staff
- Nursing staff
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