We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Controversies in Neurology |

Medical Record Documentation in 1999 Let's Cooperate

Neil A. Busis, MD
Arch Neurol. 2000;57(1):130. doi:10.1001/archneur.57.1.130.
Text Size: A A A
Published online


COOPERATING with the Health Care Financing Administration's (HCFA's) Evaluation and Management (E&M) documentation guidelines project will likely yield more favorable results for neurologists than not cooperating. The fundamental idea behind the guidelines is to ensure that all physicians who perform a given E&M service do the same amount of work, regardless of specialty. These guidelines are a logical extension of the Resource Based Relative Value System (RBRVS), which has determined Medicare physician reimbursement since 1992. The American Medical Association (AMA) oversees the Current Procedural Terminology(CPT) process and the assignment of physician work values to CPT codes, tasks that have entailed many physician-years of effort. Before the RBRVS was established, reimbursement varied by specialty and geography. Cognitive specialties were undercompensated compared with surgical specialties. The RBRVS linked physician reimbursement to physician work in a uniform manner and increased relative reimbursement rates for nonsurgical specialties.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles