tci Part B Insider - 2010 Issue 5

PART B REVENUE BOOSTER: Want to Code Your E/M Based on Time? Counseling/Coordination of Care Must Dominate Visit

Tighten up your documentation before you code based on time spent with patient. Time can equal money -- if your documentation justifies the fact that counseling/coordination of care dominated your E/M visit. "Time-based coding tends to lead to a great deal of perplexity, more so than ever due to the elimination of the consultation codes and the fact that there are no set rules or guidelines as to how to document when time is the controlling factor," says Wendy Owens-Frierson, CHM, CHI, CPC with PRSS, Inc./Avisena in Miami, Fla. "Documenting the time only does not support a...

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