In Billing
Feb 8th, 2017
Time is an alternative option for E/M coding (on many, but not all, of the E/M codes) in lieu of the three key components, history, exam, and medical decision-making. Documentation Guidelines for Time According the Centers for Medicare & Medicaid Services (CMS), “In the case where counseling and/or coordination of care dominates (more than 50%) of ...
Billing time-based services won’t be an endurance race if you have a plan of action and follow the rules. Over the course of two decades, various medical specialties have had to adapt to the “clock game.” Those specialties and their codes now include: Anesthesiology Physical therapy, rehabilitation, chiropractic, occupational therapy Evaluation and management (E/M) services ...
In Billing
Jul 15th, 2015
by John Verhovshek, MA, CPC If a code describes the “first hour” of service, you must provide and document at least 31 minutes of service. Likewise, if the unit of service is 30 minutes, you must perform and document at least 16 minutes of service (and so on). If the service does not meet the ...
In Coding
Feb 1st, 2010
When time captures reimbursement, every minute counts. By G. John Verhovshek, MA, CPC As CPT® evaluation and management (E/M) service guidelines explain, “When counseling and/or coordination of care dominates … the physician/patient and/or family encounter … time may be considered the key or controlling factor to qualify for a particular level of E/M services.” Specifically, ...
Sep 1st, 2007
By Torrey Kim, CPC Do you rely too much on your software? A physical therapy practice’s software generated one unit of 97010 for every 15 minutes that the patient sat with an ice pack on his leg — even though 97010 is not a timed code. A hospital overbilled more than $1 million in charges ...