decisionhealth Newsletters, Answer Books - 2008 Issue 12 (December)
Answer_Book / Evaluation_and_Management_Services / Don’t round up on time-based E M billing
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Article Overview
This article covers time-based evaluation and management billing and documentation considerations for office and hospital care. It focuses on how CMS guidance differs from AMA guidance for Medicare billing, what types of counseling and coordination activities may support time-based reporting, and why accurate time documentation matters. It is relevant to coders, billing staff, compliance teams, and providers who work with E/M services.
Why This Topic Matters
Time-based E/M reporting is highly dependent on payer policy and documentation quality. Misapplying time rules or documenting time imprecisely can lead to unsupported claims and avoidable billing risk.
Article Sections
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Evaluation & Management Services
Introduces the general E/M topic area and frames the article around time-based billing and documentation considerations.
What You Will Learn
- How time can be used in evaluation and management billing
- What documentation elements support time-based reporting
- How counseling and coordination of care are broadly discussed in this context
- Why payer-specific guidance matters for Medicare claims
- Which general visit types are described as having time-based guidance in the cited materials
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physicians and other billing providers
- Practice managers
Codes Discussed
Code Ranges Discussed
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