Archives     Advertise     Editorial Calendar     Subscribe     Contact Us    


AMA Issues Checklist for the Transition to E/M Office Visit Changes


 

The American Medical Association (AMA) is helping physician practices integrate fundamental changes to the coding and documentation of evaluation and management (E/M) office visit services that account for nearly $23 billion in Medicare spending. New Medicare office-visit coding and documentation guidelines are simpler and more flexible, but physician practices will need to prepare in the new year to get the full benefit of the burden relief the changes are designed to bring.

The AMA worked with the Centers for Medicare & Medicaid Services (CMS) and convened specialty societies and other health professionals to simplify the requirements, make them clinically relevant, and reduce excessive documentation burden. Key elements of the E/M office visit overhaul include:

  • Eliminating history and physical exam as elements for code selection. While significant to both visit time and medical decision-making, these elements alone should not determine a visit's code level.
  • Allowing physicians to choose whether their documentation is based on medical decision-making (MDM) or total time. This builds on the movement to better recognize the work involved in non-face-to-face services like care coordination.
  • Modifying MDM criteria to move away from simply adding up tasks to focus on tasks that affect the management of a patient's condition.

"These foundational changes are intended to reduce documentation burden and provide physicians more time with patients, not paperwork, said AMA President Patrice A. Harris, M.D., M.A. "There's a lot to understand and to prepare for before the new guidelines take effect Jan. 1, 2021. The AMA is helping physician practices to start planning now and offers resources to anticipate the operational, infrastructural and administrative workflow adjustments that will result from this overhaul."

The following 10-point AMA checklist and linked resources will help guide physician practices for a smooth transition to the simpler and more flexible guidelines:

  1. Identify a project lead
  2. Schedule team preparation time
  3. Update practice protocols
  4. Consider coding support
  5. Be aware of medical malpractice liability
  6. Guard against fraud & abuse law infractions
  7. Update your compliance plan
  8. Check with your electronic health record vendor
  9. Assess financial impact
  10. Understand additional employer or payor or medical liability coverage requirements
 
Share:

Related Articles:


Recent Articles

Election 2020 & the Future of Healthcare

COVID-19 has changed the discussion around healthcare and the upcoming presidential campaign. The Nashville Health Care Council held a virtual event to continue that conversation.

Read More

Protecting Small Businesses

America's small businesses are the backbone of our nation's economy, but too many are struggling to stay in business as a result of the COVID-19 outbreak. The good news is that sweeping relief is on the way.

Read More

NHLBI Launches Study of Drug to Treat COVID-19

Faced with a global pandemic of a virus previously unknown to humans, the National Heart, Lung and Blood Institute (NHLBI) of the National Institutes of Health has launched a clinical trial to understand if hydroxychloroquine, a well-known drug used for malaria and rheumatologic conditions, is safe and effective in treating hospitalized adults with COVID-19.

Read More

Mental Health Leaders Unite to Release Comprehensive COVID-19 Resource Hub

Read More

Study Shows ICU Patients with Low-Risk Penicillin Allergies Can Be Tested and Treated

Read More

Cummunity Comes Together Archives

Read More

AHA, AMA & ANA SEND JOINT LETTER TO CONGRESS ON CORONAVIRUS EMERGENCY FUNDING

Read More

Scope of Practice Update

Read More

AHIP Statement on Final CMS and ONC Interoper-ability Rules

Matt Eyles, president and CEO of America's Health Insurance Plans (AHIP), issued this statement following the Centers for Medicare & Medicaid Services' (CMS) final rule on Interoperability and Patient Access, and the Office of the National Coordinator (ONC) for Health Information Technology final rule on Interoperability, Information Blocking, and the ONC Health IT Certification Program:

Read More

Alexander Statement on Final Electronic Health Records Rules

U.S. Senate health committee Chairman Lamar Alexander (R-Tenn.) released the following statement after the Trump Administration released two final electronic health record rules:

Read More

Email Print
 
 

 

 


Tags:
None
Powered by Bondware
News Publishing Software

The browser you are using is outdated!

You may not be getting all you can out of your browsing experience
and may be open to security risks!

Consider upgrading to the latest version of your browser or choose on below: