decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 7 (July)
Your Questions Answered
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Article Overview
This article answers a common coding question about non-face-to-face physician work related to reviewing prior medical records for new patients. It explains the general E/M framework involved, why this issue matters for time-intensive interventional care, and what types of workflow considerations may help practices manage record review time. The piece is aimed at coders, billers, and physician practices that need to understand how E/M service time is reflected in CPT and RVU-based valuation.
Why This Topic Matters
Prior record review can consume substantial physician time in complex referrals, but practices need to know whether that work is separately reportable or already reflected in E/M valuation. Understanding this helps coding staff avoid unsupported billing and better align documentation workflows with physician review needs.
What You Will Learn
- How prior medical record review is treated in the context of E/M service time
- Why non-face-to-face physician work is relevant to E/M valuation
- How practice workflow may be adjusted to manage record review burden
- What types of questions should be directed to CPT/E/M guidance
Who Should Read This
- Medical coders
- Billing staff
- Physician practices
- Interventional radiology practices
- Revenue cycle teams
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