Merlin0728
Networker
We have a provider that would like to bill based on time. He documented the following in his note.
"Appointment billed for 1 hour, the majority obtaining history and trying to clarify her understanding, and whether she did have cancer, etc."
Does anyone have an opinion on whether his documentation meets the criteria for the coding guidelines?
“In the case where counseling and/or coordination of care dominates (more than 50%) of the physician/patient and/or family encounter (face-to-face time in the office or other outpatient setting or floor/unit time in the hospital or nursing facility). Time is considered the key or controlling factor to qualify for a particular level of E/M services."
Thank you!
"Appointment billed for 1 hour, the majority obtaining history and trying to clarify her understanding, and whether she did have cancer, etc."
Does anyone have an opinion on whether his documentation meets the criteria for the coding guidelines?
“In the case where counseling and/or coordination of care dominates (more than 50%) of the physician/patient and/or family encounter (face-to-face time in the office or other outpatient setting or floor/unit time in the hospital or nursing facility). Time is considered the key or controlling factor to qualify for a particular level of E/M services."
Thank you!