MDM vs Time

KoBee

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If I noticed a provider is using TIME to determine their level of service because they document the time but I also noticed that the documentation supports a lower level based on MDM, since we are not doing an audit, is it safe to just leave the level of service based on what the provider chose and as long as the documentation supports the TIME guidelines?
 

bgrasson

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If I noticed a provider is using TIME to determine their level of service because they document the time but I also noticed that the documentation supports a lower level based on MDM, since we are not doing an audit, is it safe to just leave the level of service based on what the provider chose and as long as the documentation supports the TIME guidelines?
Yes- the new guidelines state you can use either or as long as the time is documented.
 

KoBee

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Yes- the new guidelines state you can use either or as long as the time is documented.
Thank you for the response, I just get worried I maybe doing something incorrect if I leave the level of service based on his TIME that he is documenting even though Im checking he meets guidelines. Sometimes some providers want to use a higher level E/M by using TIME when MDM may support a lower E/M and that can flag an audit, correct?
 

SharonCollachi

True Blue
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Thank you for the response, I just get worried I maybe doing something incorrect if I leave the level of service based on his TIME that he is documenting even though Im checking he meets guidelines. Sometimes some providers want to use a higher level E/M by using TIME when MDM may support a lower E/M and that can flag an audit, correct?
No, not correct as of 1/1/2021.
 

bill2doc

Expert
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Indeed. I believe that you have the ability to choose whichever one gives the higher level, if I'm not mistaken.
That's the Million dollar question. Is that in fact the rule. I can't seem to find that spelled out anywhere....
 
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