BC Advantage - 2021 Issue 3

Why Reporting E/M Based on Time May Not Be Beneficial

Just like math teachers who require students to show their work so they can see how the student reached their answer, providers are also required to "show their work" through the documentation process in the medical record. By the time a provider has reviewed the patient's subjective complaints (i.e., patient's medical history), performed an examination, and reviewed any test results, they have already formulated a working diagnosis and understand the associated risks of treatment or failure to treat that the patient will face. In this process, the provider is sorting through subjective and objective data to determine...

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