E/M documentation

Article Overview

This article covers early CMS draft evaluation and management documentation examples, with emphasis on how specialty reviewers are assessing the relationship between physical exam elements, medical decision-making, and overall code level selection. It is relevant to cardiology coders, physician documentation reviewers, compliance staff, and specialty organizations evaluating whether the draft examples align with existing E/M frameworks and how they may be used in practice. The article also addresses the review process, timing, pilot testing, and concerns from specialty representatives about audit and payment implications.