E/M framework: 2 steps forward, 1 step back

Why This Topic Matters

E/M documentation guidance affects day-to-day coding, audit risk, and provider documentation practices. Understanding the pace of policy development and the organizations involved helps readers anticipate potential changes and monitor continued reliance on current guidance.

Article Sections

1. Delayed timeline for the new framework

   This section discusses the expected pace of testing and implementation and the uncertainty surrounding the overall schedule. It places the framework discussion in the context of earlier projected milestones.

2. Questions about what will be tested

   This section covers the uncertainty over the form of pilot testing and the agency’s review process. It also addresses general concerns about usability and reviewability.

3. Agency staffing and competing priorities

   This section outlines organizational and staffing issues that may be slowing progress. It mentions other regulatory and administrative priorities drawing attention away from the E/M effort.

4. AMA task force and House of Delegates actions

   This section describes the AMA’s liaison efforts with HCFA and related organizational positions on the documentation system. It also notes the broader advocacy posture taken by the AMA House of Delegates.

5. Background on the E/M process

   This section summarizes earlier developments in the E/M documentation debate and the sequence of agency and professional-society responses. It provides historical context for the current delay.