Wiki Counseling/Coordination of Care

[lhallstrom]

Scenario: The psychiatrists and neurologists in an Alzheimer's clinic spend a great deal of time in their subsequent visit with a patient in counseling and coordination of care. They discuss test results, the disease process, treatment options, risks and benefits, patient/family education, etc. This discussion typically takes 35 minutes during the first follow-up visit where the physician spends 45 minutes face-to-face with the patient and caregiver. Based on this scenario, the provider could report a 99215.

Question: Is there anything wrong with a practice model where the second visit with the patient is reported based on time?

Appreciate your input.

Linda

 

[FTessaBartels]

Documentation for Counseling/Coordination billing

No problem as long as your documentation:
1) Shows the total amount of time spent with the patient
2) Shows the amount of time spent in counseling/coordination of care (must be MORE than 50% of total time)
3) Summarizes what the counseling/coordination of care consisted of.

F Tessa Bartels, CPC, CEMC

 

[lhallstrom]

We have the documentation you listed. It just felt a little unusual to routinely report services based on time spent in counseling and coordination of care.
Thanks for the feedback. Any more input??

Linda