Earlier this year, the Health Care Financing Administration(HCFA) and the American Medical Association (AMA), through itsCurrent Procedural Terminology editorial panel, jointly issueddraft guidelines for documenting cognitive services (evaluationand management) in the medical record. The guidelines were sostupefyingly complicated, irrelevant to actual patient care,and adversarial in intent that a grass-roots rebellion aroseat the AMA's meeting in June. At the committee meeting thatdiscussed evaluation and management guidelines, delegates fromnearly every state denounced the plan heatedly, and the Houseof Delegates overwhelmingly passed a motion rejecting the guidelinesand promising to "oppose any documentation . . . [Full Text of this Article]
References
Related Letters:
Doctor Discontent
Cohen K. R., Fisher B. A., Etter H. S., Squillacote D. C., Kendrick R. A., Murphy E. J., Cleaveland R., Ruane T. J., Mansheim B. J., Newman R. G., Ignagni K., Grumbach K., Bindman A. B., Kassirer J. P.
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N Engl J Med 1999;
340:649-653, Feb 25, 1999.
Correspondence
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