Early changes in billing and notes after the evaluation and management guideline change

February 2022. The American Medical Association (AMA) updated guidance in 2021 for frequently used outpatient evaluation and management (E/M) visit billing codes, to simplify billing and remove clinician documentation requirements that contribute to administrative burden and burnout. We analyzed E/M visit utilization, note length, and time in the EHR among 303,547 providers from Sept 2020 through April 2021. We found that physicians shifted billing to higher-level E/M codes after the guideline change, but did not change their notes or time in the EHR, implying that the change has achieved only one of its two goals.

Full Study with Allison Hare, Sarah Fendrich, and Dori Cross.

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