Required Reports
Reviewing EDX reports completed by each of the physicians in the laboratory is a major component of determining laboratory quality. Therefore, reports from your laboratory need to be uploaded along with the online application. Each physician is required to submit between three and six reports. The number of reports submitted will depend upon the level of training and certification each physician has completed:
AANEM has created a template report and a checklist to assist you in making sure your reports meet accreditation standards. Review the AANEM's educational paper, Reporting the Results of Needle EMG and Nerve Conduction Studies.
Contact the AANEM with your laboratory accreditation questions at 507.288.0100 or accreditation@aanem.org.
| Physician Category | Number of Required Reports | |||||
|---|---|---|---|---|---|---|
| Simple Diagnosis | Complex Diagnosis | Normal Diagnosis | Abnormal Diagnosis | |||
Laboratory Physicians | 2 | 2 | 0 | 0 | ||
Laboratory Medical Directors; and Board Certified Laboratory Physicians | 2 | 2 | 0 | 0 | ||
Laboratory Medical Director - Advanced Training; and Board Certified Laboratory Physician - Advanced Training | 1 | 1 | 0 | 0 | ||
Limited Scope Specialty Physician | 0 | 0 | 1 | 2 | ||
Report Definitions
The following table applies to ALL physicians EXCEPT Limited Scope Specialty Physicians. (See the table below for the Limited Scope Specialty Physicians definitions.)
Simple | A simple diagnosis is defined as any common entrapment neuropathy or radiculopathy. |
Complex | A complex diagnosis is defined as motor neuron disease, plexopathy, myopathy, polyneuropathy, or a disease of neuromuscular transmission disorders. |
Normal: | A normal diagnosis is one in which the muscles and nerves tested showed no electrophysiologic abnormalities AND is related to the physician’s limited anatomical area of practice (i.e. pelvic floor, laryngeal, facial). This report must be completed in the year preceding the date of application submission. |
| Abnormal: diagnosis: | An abnormal diagnosis is one in which the muscles and nerves tested showed electrical abnormalities AND is related to the physician’s limited anatomical area of practice (i.e., pelvic floor, laryngeal, facial). These reports must be completed in the year preceding the date of application submission. |
Report Criteria
- All submitted reports must be less than 6 months old at the time of submission. *EXCEPTION – Reports submitted for Limited Scope Specialty Physicians should be completed in the year preceding the date of application submission.
- All reports should include a nerve conduction study AND a needle electromyography examination. Although exclusion of a study may be medically appropriate (i.e., the patient could not tolerate an EMG examination), a report submitted without a NCS or EMG examination will be rejected and result in accreditation denial
- For all physicians, one of the complex diagnosis or simple diagnosis reports must include a repetitive nerve stimulation OR an H-reflex OR an F-wave study.
- Redact all Personal Healthcare Information – HIPAA "Safe Harbor" De-Identification of Medical Record Information requires that each of the following identifiers of the individual or of relatives, employers, or household members of the individual must be removed from medical record information in order for the records to be considered de- identified:
- Names
- All geographic subdivisions smaller than a State, including street address, city, county, precinct, zip code, and their equivalent geocodes.
- All elements of dates (except year) for dates directly related to an individual, including birth date, admission date, discharge date, date of death; and all ages over 89 and all elements of dates (including year) indicative of such age, except that such ages and elements may be aggregated into a single category of age 90 or older.
- Telephone numbers
- FAX numbers
- Electronic mail addresses
- Social security numbers
- Medical record numbers
- Health plan beneficiary numbers
- Account numbers Certificate/license numbers
- Vehicle identifiers and serial numbers; license plate numbers
- Device identifiers and serial numbers
- Web Universal Resource Locators (URLs)
- Internet Protocol (IP) address numbers
- Biometric identifiers
- Full face photographic images and any comparable images
- Any other unique identifying number, characteristic, or code, except a code to permit re-identification of the de-identified data.
AANEM has created a template report and a checklist to assist you in making sure your reports meet accreditation standards. Review the AANEM's educational paper, Reporting the Results of Needle EMG and Nerve Conduction Studies.
Contact the AANEM with your laboratory accreditation questions at 507.288.0100 or accreditation@aanem.org.