MedPage Today January 4, 2022
Fred N. Pelzman, MD

— Medicare’s new coding guidelines are a good start, but we still need to reduce “note bloat”

Despite remarkable changes to billing requirements that came down the pike in 2021, it feels like not a lot has changed.

For years, people have complained about the onerous burdens required for documentation in charts for E&M (evaluation and management services) coding, which led to endless notes, page after page of not very informative drivel that was included, more often than not, for the sake of up-coding.

To be able to bill at a level that was appropriate for the care we’ve been providing, doctors have been forced over the past few decades to incorporate huge amounts of extraneous and often not very...

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