tci Part B Insider - 2004 Issue 1

Physician Notes: Clinical Examples for E/M Put On Hold by Medicare Reform Law

HHS must work with doctors, plan improvements and run pilot projectsThe plan to replace the 1995 and 1997 evaluation and management coding guidelines with "clinical examples" has hit another big snag. According to the American Health Information Management Association, Section 941 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 contains a little-noticed clause requiring the HHS Secretary to jump through several hoops before changing E/M documentation guidelines. The Secretary must consult with physicians and provide for an assessment of proposed guidelines by the physician community. And, HHS must set up a plan containing specific...

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