Time Documentation

syounger

New
Messages
2
Best answers
0
As part of a retrospective review, the services requiring time documentation, what is the best practice when the time IS NOT documented? Are your auditors recommending coding to the lowest service or non-billable service? (99331-99443)
 

csperoni

True Blue
Messages
999
Location
Selden
Best answers
3
If the lowest service indicates 5-10 minutes of time and time is not documented, then it is non-billable.
The service could easily have been less than 5 minutes if not documented.
If the lowest service description said "up to 10 minutes", then I would feel comfortable using that lowest level.
In your question above, I am assuming a typo and you meant 99441-99443 (not 99331). That description specifies 5-10 minutes, so no time documentation means non billable service.
 
Top