Evaluation and Management Codes Undergo Changes

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In November 2018, Medicare released the final Physician Fee Schedule (PFS) rule containing revisions to evaluation and management (E&M) code documentation requirements. Earlier, in a press conference announcing proposed E&M changes in July, Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma said, “Evaluation and Management or E&M visits make up around 40% of all Medicare payments under the Physician Fee Schedule, and guidelines have not been updated since 1997—21 years ago,” adding that nearly 750,000 clinicians use these codes. “The requirements often mean that doctors have to cut or paste chunks of information across medical records strictly for