BC Advantage - 2021 Issue 3
Why Reporting E/M Based on Time May Not Be Beneficial
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Article Overview
This article explains general documentation issues related to office and outpatient E/M services, including the relationship between time, medical decision making, and audit support. It is aimed at physicians, QHPs, coders, and compliance staff who work with E/M documentation and claim review. The discussion focuses on broad payer scrutiny topics, time documentation methods, and using a quick reference tool to support accurate reporting.
Why This Topic Matters
Understanding the documentation differences between time-based reporting and medical decision making can help reduce claim denials, recoupment risk, and audit problems. The article is relevant for teams responsible for E/M coding accuracy and medical necessity support.
What You Will Learn
- How documentation supports evaluation and management reporting
- General differences between time-based reporting and medical decision making
- Common payer review concerns related to time documentation
- Which office/outpatient E/M services are associated with time counting
- How reference tools can support E/M documentation workflows
Who Should Read This
- Physicians
- Qualified health professionals
- Medical coders
- Compliance staff
- Auditors
Codes Discussed
Code Ranges Discussed
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