tci E/M Coding Alert - 2016 Issue 8

Time-Based Coding: The Record Matters When Coding Counseling Exception E/Ms

Pay attention to notes or risk missing counseling exception opportunities. You’d better have your ducks in a row if you want to code an E/M service using the counseling exception. Example: You’re a coder looking at the notes for an E/M service. What are the key terms you can look for in the documentation that might indicate a counseling exception E/M? Use this expert advice to sift through terms that might lead you to using the counseling exception and striking E/M gold. Record Must Reflect Extra Time When considering the counseling exception, “the first requirement is...

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