Often, the graph also does not include the amplitude, filter setting, and sweep setting. The policy of requiring hard copy to be submitted may have been developed with an eye on curtailing over-utilization. The AAEM strongly believes that peer review is the best way to prevent overuse. This requirement is incompatible with electronic billing because the paper copy or tape would have to be sent by mail. The insurance companies requiring hard copy will need to hire and train additional staff to interpret and monitor the data.
Hard copy is part of the medical record.
Physicians ethical guidelines preclude sending patient information to insurance companies without assurance that this information will be treated in the same confidential manner that other elements of the record are treated, and patients must give their consent. This policy is discriminatory against physicians who perform electromyography and NCSs. Others who perform or interpret electrocardiograms, fetal ultrasounds, and radiologic procedures are not required to submit hard copy. If this proposal becomes widespread, the potential for increased costs is dramatic. Back to Main Position Statements page.