What is the best way in an EMR to document counseling time when time is used as a factor to select the E/M level?
Currently we have the provider document “Total face to face time __ minutes” and also document “Counseling was greater than 50% of face to face time”. Is that adequate or does the provider need to document the actual number of minutes spent counseling the patient as well as the face to face time?
Currently we have the provider document “Total face to face time __ minutes” and also document “Counseling was greater than 50% of face to face time”. Is that adequate or does the provider need to document the actual number of minutes spent counseling the patient as well as the face to face time?