• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Time spent reviewing chart

Create Wiki
T

torih@nwurology.com

Guest
Messages
34
Location
Beaverton, OR
Best answers
0
One of my physicians may spend about 20minutes prior to a patient visit reviewing old records. Is the only way to capture that time in the MDM table B? Or would he be able to bill using time if the visit consisted of more than 50% counseling and coordination of care?

Thank you,
Tori
 
A provider can summarize records and receive two data points in the MDM section of the Audit Tool. This can make the difference between two-three levels (eg. 99213-99215) if documented adequately. Medicare likes the provider to identify the source of the records whether it is from a hospital or another provider; identify the name specifically in the summarization in the MDM section.

Time documentation is face-to-face with the patient, so if the provider is reviewing records in his office prior to seeing the patient this time cannot be counted for total time.
 
Last edited:
You must log in or register to reply here.
Top