tci E/M Coding Alert - 2021 Issue Q3

Documentation: Prioritize Coding These ‘Minor’ Visits to Ethically Boost Your Bottom Line

Missing a F2F component may not totally diminish an encounter. Your providers sometimes need to focus on patients who require the most dedicated attention —but they don’t want to leave established patients with comparably minor needs left out to dry, either. Coding 99211 (Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services) for these “smaller” encounters could be a big...

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