BC Advantage - 2018 Issue 10

Prolonged Services Its Not Just About Time

Time, as it applies to E/M codes, has often been viewed as an "if/then" proposition. "If" the documentation shows that a majority of the encounter was based on counseling and/or coordination of care, "then" we choose the highest level of service based on the total time of the encounter.  However, a lingering question remains when we follow such a rigid model; what if the complexity of the visit doesn't rise to the level of service matched by the total time? This tension becomes more severe when the total time of the encounter spills into the addition of...

To read the full article, sign in and subscribe to BC Advantage.

Thank you for choosing Find-A-Code, please Sign In to remove ads.