decisionhealth Newsletters, Part B News - 2000 Issue 6 (June)
PPAC to make recommendations on upcoming E/M recommendations
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Article Overview
This article explains how HCFA is reviewing draft evaluation and management guideline revisions and seeking physician input before any pilot testing or implementation. It is relevant to physicians, medical practice leaders, specialty societies, and coding/compliance professionals who follow Medicare policy, evaluation and management documentation guidance, and federal advisory processes.
Why This Topic Matters
Evaluation and management services are a major part of Medicare, so changes to the guidelines can affect documentation expectations, review processes, and physician workload across many specialties. The article also highlights the role of the Practicing Physicians Advisory Council in advising HCFA on future guideline development.
Article Sections
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HCFA review and public input process
Discusses HCFA’s assessment of draft evaluation and management guideline revisions and its effort to gather feedback from the physician community. It also covers the planned town meeting and related steps in the review process.
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Practicing Physicians Advisory Council role
Describes the role expected for the advisory council when the guidelines are considered for approval. This section focuses on the council’s upcoming deliberations and recommendations to HCFA.
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Physician perspectives on the process
Summarizes comments from physicians on the council about the significance and challenges of the process. It also notes concerns about the council’s influence and the balancing of different specialty interests.
What You Will Learn
- How HCFA is approaching review of draft evaluation and management guideline revisions
- Why physician input is being sought before guideline implementation
- What role the Practicing Physicians Advisory Council is expected to play
- What broad concerns physicians raised about the advisory and review process
Who Should Read This
- Physicians
- Medical coders
- Coding auditors
- Practice administrators
- Compliance professionals
- Specialty societies
- Health policy readers
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