AHA Coding Clinic® for HCPCS - 2003 Quarter 2; For your information
Update on the facility E/M expert panel
The American Hospital Association (AHA) and the American Health Information Management Association (AHIMA) have jointly convened an independent expert panel to make a recommendation to CMS on standardizing hospital reporting of evaluation and management (E/M) services in the emergency department and provider-based clinics. The panel is broad and covers all sizes of hospital organizations. Panel membership consists of coding, billing, finance, clinical, audit and compliance experts. The panel is following the guidelines outlined in the Federal Register proposed and final rules on the Hospital Outpatient Prospective Payment System. The panel has had several meetings thus far and is making...
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Article Overview
This article provides a high-level status update on a joint American Hospital Association and AHIMA expert panel working on standardized hospital reporting of evaluation and management services in emergency departments and provider-based clinics. It is relevant to hospital coding, billing, finance, compliance, and clinical professionals who track CMS policy development and outpatient reporting guidance.
Why This Topic Matters
Hospitals and their revenue cycle and compliance teams need to monitor evolving CMS-related reporting policy for facility E/M services, especially when national organizations are developing recommendations that may affect outpatient reporting practices.
Article Sections
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Panel overview and purpose
Introduces the joint expert panel, its broad hospital representation, and the general policy area under review.
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Guidance framework and process
Summarizes the rulemaking framework the panel is using and the general approach taken in its review of reporting models.
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Status and next steps
Provides a progress update and describes the anticipated path for recommendations and public comment.
What You Will Learn
- What organizational groups are involved in the expert panel process
- What general hospital reporting topics the panel is addressing
- How the panel’s work relates to CMS and the outpatient rulemaking environment
- What the next procedural steps are in the policy development process
Who Should Read This
- Hospital coders
- Hospital billers
- Revenue cycle staff
- Compliance professionals
- Finance leaders
- Clinical documentation staff
- Health information management professionals
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