Guidelines: Bolster Your Distinct Time Billing Knowledge

Why This Topic Matters

Split/shared billing rules can change which provider bills an encounter and how the service is supported in documentation. Understanding the current framework helps reduce billing errors and supports more accurate claims for physician and advanced practice provider encounters.

Article Sections

1. Examine the E/M Guidelines

   Reviews how split/shared E/M billing guidance has changed over recent years and introduces the current framework discussed in the article. It also contrasts time-based and MDM-based approaches at a high level.

2. Count Time Correctly

   Explains the concept of distinct time and how separate provider time is treated when services are performed independently or simultaneously. The section also summarizes the types of activities discussed in relation to time accounting.

3. Choose Billing Option Carefully

   Discusses how differences in provider time allocation can affect billing decisions and documentation strategy. It also addresses broader considerations when selecting between time-based and MDM-based approaches.