Medicare Compliance & Reimbursement - 2023 Issue 10
Reader Questions: Focus Items That Count for E/M ‘Time’
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Article Overview
This reader-question article explains general CPT-based guidance on what may be included in evaluation and management time, especially when a provider reviews or revisits prior findings during a later encounter. It is relevant to surgeons, coders, and billing staff who need to understand the scope of countable face-to-face and non-face-to-face work, documentation expectations, and the possibility that payer policies may differ.
Why This Topic Matters
Accurate time-based E/M reporting depends on understanding which activities can be included in total encounter time and which cannot. The article helps readers compare common workflow tasks with CPT’s time framework and recognize that documentation and payer rules may affect reporting.
What You Will Learn
- What types of activities may be considered in total E/M time under CPT
- How non-face-to-face work is generally framed in time-based reporting
- Why documentation matters when revisiting previously addressed information
- Why payer-specific policies may differ from general CPT guidance
Who Should Read This
- Physicians
- Surgeons
- Professional coders
- Billing staff
- Compliance staff
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