Hello,
I need some assistance in advising my pediatric provider on how to document better when counseling and/or coordination of care dominates the E/M visit. Does the provider need to document the "time-in and time-out" in the clinical record? Or is it enough by documenting that more than 50% of the visit was counseling?
Also, how does it differ from commercial insurances vs. Medicare/Medicaid?
Please help!
I need some assistance in advising my pediatric provider on how to document better when counseling and/or coordination of care dominates the E/M visit. Does the provider need to document the "time-in and time-out" in the clinical record? Or is it enough by documenting that more than 50% of the visit was counseling?
Also, how does it differ from commercial insurances vs. Medicare/Medicaid?
Please help!