Wiki counseling visits

[stepp2005]

Can you give me some guidelines how to document for visits based on time?
I would appreciate any help.

 

[nateich]

These are the guidelines I follow:

1. Physician documents total time
2. Documentation states that greater than 50% of the total face to face time was spent on counseling or coordinating the patients care
3. The content of discussion is sufficiently documented

Hope this helps.