decisionhealth Newsletters, Coder Pink Sheets - 2020 Issue 4 (April)
Understanding E/M: Count the minutes with care to report split/shared office visits in 2021
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Article Overview
This article discusses time-based evaluation and management office visit reporting for split/shared encounters in 2021. It is aimed at coders, billing staff, and practices evaluating whether time-based reporting fits their workflow. The piece covers how provider time is tallied, how separately performed activities are handled, and how a sample office-visit timing scenario is evaluated using established office visit code families.
Why This Topic Matters
Accurate time counting affects office visit code selection and compliance when more than one practitioner participates in care. The article helps readers understand the general approach to split/shared office visit time reporting and why careful internal time studies may be important for practices.
Article Sections
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Time-based office visit reporting
Introduces time-based evaluation and management reporting for office visits and the kinds of activities that may be considered in that framework.
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Split/shared visit time counting
Explains how time is considered when a physician and a non-physician practitioner both participate in a visit. The discussion focuses on separate versus shared time and the issue of duplicate counting.
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Scenario and timing table
Presents a sample office visit timing scenario and a reference table showing the applicable office visit code families and time bands.
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Answer
Provides the reported result for the sample scenario and briefly notes the treatment of clinical staff time and practice-level time studies.
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Editor’s note
Contains promotional information about a related webinar and ordering details.
What You Will Learn
- How time-based office visit reporting is framed in this article
- How split/shared visit time is discussed at a high level
- What kinds of activities are mentioned as part of the timing discussion
- How a sample office-visit timing scenario is presented
- Why practices may consider internal time studies before adopting time-based reporting
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Compliance staff
- Physician practices
- Nurse practitioners and other non-physician practitioners
Codes Discussed
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