Wiki Billing based on Time

[pammalou]

I know that the lingo is supposed to state total time spent with patient of which ___ time was spent face to face..... Was wondering if this type of language would suffice for time. I am with a new employer and her patients are high maintenance patients that take up much time for a specific cause/counseling of care but the wording is not up to what I am used to seeing and want an opinion if it works?

"Greater than 30 minutes was spent in discussion and in education as it relates to disease process and
treatment plan"

 

[CodingKing]

From the 95/97 DG's

If the physician elects to report the level of service based on counseling
and/or coordination of care, the total length of time of the encounter (faceto-face
or floor time, as appropriate) should be documented and the
record should describe the counseling and/or activities to coordinate care.

 

[Kris78]

Hi.

In order for you to use Time-Based Billing, the statement of "I spent XXminutes with the patient with more than 50% used to counsel the patient on ............."

However the physician chooses to document that, it needs to have the minutes spent with the patient and/or caregiver and that more than 50% of the encounter was due to council and/or coordinate care. Without the "50% statement", it doesn't count.

 

[Orthocoderpgu]

Easy way to tell

There is an easy way to tell if the physician has documented the counseling time correctly or not. If you can make a percentage from the statement, then it's documented correctly. If you cannot come up with a percentage of time spent counseling, it's not documented. Correctly. If all that is documented is the total time, then a percentage cannot be determined such as "I spent 30 minutes with the patient...".