decisionhealth Newsletters, Part B News - 2015 Issue 4 (April)
‘Floor time’ allowable when documenting time for inpatient E/M services
Subscribe or sign in to view the full article.
Article Overview
This premium article covers time-based documentation for inpatient evaluation and management (E/M) services under CPT and CMS guidance. It focuses on how hospital floor time may be considered in the service-time calculation, what broad activities may be associated with that time, and how family discussions fit into counseling and coordination-of-care documentation. The piece is relevant to coders, physicians, and compliance staff who document inpatient E/M services and want to understand the general scope of the rules discussed in CPT and CMS materials.
Why This Topic Matters
Accurate time documentation can affect inpatient E/M code selection and compliance. This article helps readers understand the general documentation issues that can influence whether service time is supportable for billing purposes.
Article Sections
-
Billing
Introduces the topic of time-based inpatient E/M reporting and discusses hospital floor time in the context of CPT and CMS guidance.
-
Focus on care plan in family discussions
Addresses documentation considerations for discussions with family members and how those conversations relate to counseling and coordination of care in the inpatient setting.
What You Will Learn
- How inpatient E/M service time may be documented in broad terms
- How hospital floor time relates to time-based reporting concepts
- What types of general activities are associated with floor time
- How family discussions fit into counseling and coordination-of-care documentation
- Why clear documentation of patient-care discussions matters for inpatient visits
Who Should Read This
- Physicians
- Hospital coders
- Inpatient billing staff
- Compliance professionals
- Practice managers
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com