E/M Coding Alert - 2016 Issue 1
Reader Question: CMS Reps Address Time Thresholds for Advance Care Planning
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Article Overview
This article is a short reader question and answer about CMS remarks on time thresholds associated with advance care planning billing. It is relevant to coding staff, billers, and compliance teams who work with time-based service reporting and want to understand the general policy discussion, payer variability, and the context of a Medicare Physician Open Door Forum conversation.
Why This Topic Matters
Time-based coding questions can affect claim submission, compliance, and whether a service is reportable under a payer’s rules. This piece helps readers understand that CMS officials addressed the topic in a public forum and that practices should consider payer-specific requirements.
What You Will Learn
- How the article frames a question about time-based reporting for advance care planning services.
- That the discussion references CMS commentary from a Medicare Physician Open Door Forum.
- How payer variation is part of the broader issue covered in the article.
- What general compliance concern arises when services are performed for very short durations.
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Practice managers
- Physician office staff
Codes Discussed
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