Medicare Compliance & Reimbursement - 2003 Issue 19
Use Counseling to Raise E/M Levels - But Don't Overuse This Technique
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Article Overview
This article discusses a time-based approach to office evaluation and management reporting when counseling makes up more than half of the encounter. It focuses on the documentation elements that support this style of billing, common carrier skepticism, and situations where the approach may or may not be appropriate. It is aimed at coders, billers, and clinicians who document office visits and want to understand the broad compliance issues involved.
Why This Topic Matters
Accurate E/M documentation affects whether office visits can be supported at higher levels and helps reduce denials or audit risk when counseling time is used as the basis for reporting.
What You Will Learn
- How time can factor into office visit reporting when counseling is the dominant service component.
- What kinds of documentation are generally associated with counseling-based E/M claims.
- Why payers may scrutinize visits billed using counseling time.
- Which broad visit scenarios are discussed as more or less suitable for this approach.
Who Should Read This
- Medical coders
- Medical billers
- Physicians
- Clinical documentation staff
- Practice managers
Codes Discussed
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