tci Part B Insider - 2006 Issue 6

EVALUATION & MANAGEMENT: Don't Hold Your Breath For New National E/M Guidelines

But keep an eye open for more carrier-level meddlingThe American Medical Association shows no sign of moving ahead with new national guidelines for your evaluation & management documentatio--but that doesn't mean you can relax.The national guidelines may not change any time soon, but local carriers such as Trailblazer will continue to push forward with regional guidelines, observers predict. Carrier reps will use those guidelines to audit your claims until you follow the new rules.The Centers for Medicare & Medicaid Services has no policy to encourage the carriers to make their own E/M rules, officials say. The carriers...

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