decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 3 (March)
Time-based E/M: Determines pay for counseling, coordination-of-care visits
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Article Overview
This article covers time-based evaluation and management reporting for physician-patient encounters where counseling and coordination of care make up most of the visit. It is aimed at gastroenterology coders, billing staff, and clinicians who need to understand documentation requirements, time tracking, and the general guidance sources that support selecting the appropriate E/M level.
Why This Topic Matters
Correctly identifying when time drives E/M level selection can affect claim accuracy, documentation quality, and reimbursement for office visits.
What You Will Learn
- How time can affect evaluation and management code selection
- What documentation elements are emphasized for counseling and coordination-of-care visits
- How encounter time is generally tracked and recorded for reporting purposes
- Why awareness of typical visit times can matter for coding workflows
Who Should Read This
- Medical coders
- Billing staff
- Gastroenterologists
- Practice administrators
- Clinical documentation staff
Codes Discussed
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