As most if not all of our readers are aware, the triple aim refers to improving quality and safety, enhancing financial sustainability, and improving the patient experience. It has been suggested that we should aspire to the quadruple aim. which includes improving the work life of doctors, nurses, and associates. We have long thought that improving the patient experience is one of the most neglected areas and also thought that these four areas are inextricably interwoven. We are happy to see is that the American Medical Association and CMS seemed to have worked together to improve coding so that the imperatives of billing do not constrain the doctor's ability to do the best for their patients. Please note that our readers can leave opinions on this blog and can schedule a call with Dave if you wish to write a full-length article
According to the AMA, "CMS said it is 'investing in the critical thinking required to evaluate a patient,' which will improve outcomes—especially for the one in five Medicare beneficiaries with multiple chronic conditions such as diabetes and hypertension". The AMA goes on to say "The proposed CPT changes would:
The AMA reports that in 2019, it convened the CPT Editorial Panel which approved revisions to the CPT E/M office or other outpatient visit reporting guidelines and code descriptors. "These revisions were in direct response to the leadership demonstrated by Centers for Medicare and Medicaid Services (CMS) Administrator, Seema Verma, to take on the challenge of revising the Evaluation and Management (E/M) office visit reporting guidelines". A short summary of their work can be seen here
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