I am wondering if anyone can assist me? DSHS will only allow you to bill an inpatient E & M for inpt SNF up to 3 hours per day. My MD saw a new patient face to face for end of life and spent 3 hours face to face time w/family and patient. Notes state over 180 mins spent face to face & a comprehensive Hx, a comprehensive exam with medical decision making of high complexity. The 99306 is initial visit per day and typically 45 mins. How should I bill this to ensure my MD gets paid for all her time spent face to face w/pt and family?