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. This note is not meant to suggest that all 59 bulleted elements listed for the comprehensive exam must be performed. While the guidelines require that at least 18 bulleted elements from at least nine systems or body areas be documented, they stipulate that all bulleted elements in the systems and areas examined be performed. We want to hear from you.
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