tci Part B Insider - 2004 Issue 32

Documentation: Documentation-Savvy Docs Decry Simplified Guidelines

AMA will not replace E/M documentation guidelines with clinical examplesThe 1995 and 1997 evaluation and management documentation guidelines are here for the long haul - and some doctors prefer it that way.The American Medical Association's move to replace those guidelines with "clinical examples" wasn't just doomed because of poor performance in tests (although that didn't help). A shift in the "political environment" since the late 1990s also made a difference: Many doctors now view documentation guidelines as an objective way of documenting and as protection against audits, according to a summary of E/M discussions the AMA recently submitted...

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