The AAFP believes that physicians should receive payment for services that are reasonable and necessary, safe and effective, medically appropriate, and provided in accordance with accepted standards of medical practice. The technology used to deliver the services should not be a consideration, only whether the service is medically reasonable and necessary. Therefore, AAFP supports payment for electronic communication and evaluations that physicians provide for the medical management of their established patients as a separate service unrelated to an evaluation and management (E/M) service. (2004) (2020 COD)