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CMS Modifies E/M EHR Clinical Documentation Requirements

CMS Modifies E/M EHR Clinical Documentation Requirements

Published by: Melissa Clark, CCS-P on February 16, 2018

The American College of Physicians (ACP) recently applauded a CMS decision to change EHR clinical documentation requirements. Teaching physicians can now verify medical student documentation in a patient’s EHR related to evaluation and management (E/M) code services.

“Prior to the change, physicians were required to re-document most work performed by medical students — which is often very thorough and based on careful and supervised evaluation — rather than review, refer to, amend, or correct the student note,” clarified ACP President Jack Ende, MD in a public statement.

Changing the EHR clinical documentation requirement allows teaching physicians to educate medical students about EHR use within a more streamlined workflow and reduces administrative burden for physicians.

“The changes will help better prepare medical students to effectively use an EHR, allow medical students to become more meaningful participants in patient care, and help them develop important competencies needed for continued training, licensure, and the lifelong practice of medicine,” wrote Ende.

The CMS rule change was released February 2, 2018 and is slated for implementation on March 5, 2018…

 

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Published by: on February 16, 2018

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