A side effect of the new coding rules


Fam Pract Manag. 1998 Apr;5(4):9.

To the Editor:

Your series of articles on HCFA's new Medicare documentation rules are timely and appreciated.

What is missing in this rush to comply with HCFA's rules is any analysis of the cost-benefit ratio and other ramifications of these onerous regulations. Even with your coding tools, it appears that strict compliance with these rules would require five to 10 minutes for accurate coding and additional time for complete, supportive documentation. For anything above a 99212, coding and documentation could easily require as much time as that required for the actual service. To devote more time to paperwork, physicians must either see fewer patients per day, thereby decreasing access, or spend less time with patients, thus decreasing quality of care. Some physicians may simply choose to stop seeing Medicare patients. Unfortunately, insurance companies will likely try to adopt these same guidelines in the future.

I urge the AAFP and the AMA to consider all the problems created by HCFA's guidelines and to work with Congress to stop or change them before it is too late.


Send your comments to fpmedit@aafp.org. Submission of a letter will be construed as granting AAFP permission to publish the letter in any of its publications in any form. We cannot respond to all letters we receive. Those chosen for publication will be edited for length and style.


Copyright © 1998 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact fpmserv@aafp.org for copyright questions and/or permission requests.

Want to use this article elsewhere? Get Permissions


May-Jun 2020

Access the latest issue
of FPM journal

Read the Issue

FPM E-Newsletter

Sign up to receive FPM's free, weekly e-newsletter, "Quick Tips & Insights."

Sign Up Now

COVID-19 Collection

What's the latest on telehealth coverage? How do parking lot visits work? What financial assistance is available for practices? How do I keep my family well when I come home from work? Visit the FPM COVID-19 collection for answers and ongoing updates.