Documenting Time-Based E/M Services.
“Time is on my side.” Yes it is. But knowing whether or not time is a factor to qualify for a particular level of E/M can lead to uncertainty. So when is time a factor?
Providers can assign an E/M level based on time rather than on the elements of the history, examination, and medical decision making when counseling and/or coordination of care dominates the physician-patient and/or family encounter.
For accurate coding, it’s crucial to understand the required documentation and exceptions which are many.
Download our free eBrief, Clear Up The Confusion Around Time-Based E/M Services, to learn the documentation requirements for some of the most common E/M services associated with time, such as:
- Counseling and Coordination of Care
- Critical Care Services
- Smoking Cessation and Much, Much, More.