decisionhealth Newsletters, Part B News - 2025 Issue 2 (February)
Avoid duplicating NP, MD time; add alone time separately
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Article Overview
This brief coding Q&A discusses how shared and separate time are considered when a nurse practitioner and physician both contribute to an established patient encounter on the same day. It is aimed at coders and clinicians who work with office/outpatient evaluation and management documentation and time-based code selection. The article presents a simple time-counting scenario and notes the resulting reporting implication in a general way.
Why This Topic Matters
Accurate time accounting affects whether the visit is assigned the appropriate office/outpatient evaluation and management level. Understanding how to avoid duplicate counting helps prevent overstatement of service intensity in split or shared care situations.
What You Will Learn
- How combined provider time is viewed in an established patient encounter
- How separate and shared time are distinguished in a simple office/outpatient example
- Why avoiding duplicate time counting matters for time-based evaluation and management reporting
- How a brief Q&A format can clarify documentation and coding questions
Who Should Read This
- Medical coders
- Billing staff
- Physicians
- Nurse practitioners
- Compliance professionals
Codes Discussed
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