Topic Collection

Documentation Guidelines

Editors' Choice of Best Available Content

This collection of articles from FPM will help you comply with Medicare's evaluation and management (E/M) documentation guidelines.

Last Update: 01/13/2021

E/M Documentation Guidelines

12/01/2020 The 2021 Office Visit Coding Changes: Putting the Pieces Together
02/01/2021 Coding Level 4 Office Visits Using the New E/M Guidelines
10/01/2020 Countdown to the E/M Coding Changes Tool
02/01/2021 E/M Changes for 2021: The Beginning, Not the End
02/01/2022 Outpatient E/M Coding Simplified new
08/01/2021 A Step-by-Step Time-Saving Approach to Coding Office Visits new Tool
AAFP Practice Hacks Video: E/M Coding Changes

Documentation, General

08/01/2013 Do You Know What Is (or Isn't) in Your Documentation?
03/01/2000 Documentation Tips for Reducing Malpractice Risk
04/01/2016 Getting Your Notes Done on Time
08/01/2006 A Refresher on Medical Necessity
08/01/2011 Structure and Synchronicity for Better Charting

Team Documentation

08/01/2008 A New Approach to Making Your Doctor-Nurse Team More Productive Tool
08/01/2013 Optimizing the Role of Nursing Staff to Enhance Physician Productivity: One Physician's Journey
04/01/2018 A Team-Based Care Model That Improves Job Satisfaction
02/01/2019 Using Empowered CMAs and Nursing Staff to Improve Team-based Care
12/01/2020 What Can a Scribe Do for You?

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