The CMS-0057 rule regulates health plans, not practices, but administrators are the ones who have to get the EHR and billing vendor conversations right.
Commentary|Articles|October 22, 2026
Two code sets, one workflow: a medical practice guide to CMS and AMA quality codes
Author(s)Robert Resnik, M.D., MBA
Fact checked by: Richard Payerchin, Keith A. Reynolds
Frequently asked questions about differentiating the CMS and AMA code sets.
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Every practice that closes quality gaps runs into the same problem: two organizations, each with its own codes for the same clinical work.
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