decisionhealth Newsletters, Coder Pink Sheets - 2018 Issue 5 (May)
Understanding E/M: Medical practice pros urge CMS to streamline E/M reporting, boost MDM
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Article Overview
This piece summarizes comments made during a CMS listening session on evaluation and management (E/M) documentation. It is relevant to physicians, coders, compliance staff, and practice managers who follow federal E/M policy updates, especially proposals affecting documentation structure, medical decision-making emphasis, team-based documentation, and payer consistency.
Why This Topic Matters
E/M documentation policy affects how patient encounters are reported and reviewed across practices and payers. Changes discussed in the article could influence documentation workflows, compliance expectations, and future federal rulemaking.
Article Sections
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CMS listening session on E/M documentation
Introduces the agency discussion with physicians and medical practice advocates and explains the policy context for the feedback session.
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Stakeholder feedback themes
Summarizes the main areas of comment raised during the session, including documentation structure, encounter complexity, team-based note-taking, and payer alignment.
What You Will Learn
- How CMS is gathering input on evaluation and management documentation policy
- The broad areas of stakeholder concern about E/M reporting
- Why medical decision-making and documentation workflow are central topics in the discussion
- How payer consistency and team-based documentation fit into the broader policy review
Who Should Read This
- Physicians
- Medical coders
- Compliance professionals
- Practice managers
- Revenue cycle staff
- Health policy analysts
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