BC Advantage - 2017 Issue 10
CMS Proposes to Revise Evaluation & Management Guidelines
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Article Overview
This article explains CMS’s proposal to rework Evaluation and Management documentation guidance as part of the 2018 Physician Fee Schedule Proposed Rule. It discusses the administrative burden and audit concerns that prompted the proposal, the role of stakeholder feedback, and the general areas CMS is considering for future change. The content is relevant to coders, compliance staff, auditors, and providers who follow E/M documentation policy and federal rulemaking.
Why This Topic Matters
E/M documentation policy affects how many office and other visit services are documented, reviewed, and audited. Changes to the guidelines can influence compliance workflows, provider burden, and how organizations prepare for future coding and documentation expectations.
What You Will Learn
- Why CMS is considering changes to E/M documentation guidelines
- How stakeholder feedback is part of the proposed revision process
- Which broad documentation areas CMS is focusing on for potential reform
- Why the proposal is relevant to E/M compliance and audit readiness
Who Should Read This
- Medical coders
- Coding auditors
- Compliance professionals
- Physicians and other providers
- Revenue cycle staff
- Practice managers
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