decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 8 (August)
Billing E/M with time as the main factor can boost payment
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Article Overview
This article is aimed at ObGyn practices and coding staff who need to understand when time may be used in place of the usual E/M components for office and inpatient visits. It discusses general CPT guidance, documentation expectations, common time-counting considerations, and the reimbursement impact of choosing a time-based approach in appropriate encounters.
Why This Topic Matters
Correctly understanding time-based E/M reporting can affect both compliance and payment, especially in visits that involve extensive counseling or coordination of care. The article helps readers recognize the documentation points and visit types that may be relevant before applying the guidance.
What You Will Learn
- When time may be used as the key factor for selecting an E/M level
- What types of encounter time are generally counted or excluded
- How documentation supports time-based E/M reporting
- Why overuse of time-based coding can create compliance risk
- How the guidance differs across office, inpatient, and emergency settings
Who Should Read This
- ObGyn physicians
- Medical coders
- Billing staff
- Practice managers
- Compliance staff
Codes Discussed
Modifiers Discussed
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