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Time Based Billing

  1. #1
    Question Time Based Billing
    Medical Coding Books
    When the Physician notes that he/she spent 20 minutes with the patient and 15 was spent in counseling and coordination of care (Subsequent IP) --> 99231

    Yet the HPI, Exam and MDM = 99233

    DO YOU HAVE TO BILL BASED ON TIME, JUST BECAUSE IT'S NOTED? Or can you pick and choose which one is higher RVU ($$)?

  2. #2
    Default
    Good question, I'm going to see how this turns out.

  3. #3
    Default
    From what I've read, you can use your elements instead of using time. Time based billing is an option.

  4. #4
    Default
    Without the whole of the record I can't make an accurate or informed judgement to help.

  5. #5
    Location
    New Windsor, New York
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    1,183
    Default
    Quote Originally Posted by AKAJBART View Post
    When the Physician notes that he/she spent 20 minutes with the patient and 15 was spent in counseling and coordination of care (Subsequent IP) --> 99231

    Yet the HPI, Exam and MDM = 99233

    DO YOU HAVE TO BILL BASED ON TIME, JUST BECAUSE IT'S NOTED? Or can you pick and choose which one is higher RVU ($$)?
    While I don't have a good source that would answer the question - I would believe that you can use whichever method that would be more beneficial to the physician, just like you can use either the 1995 or the 1997 Guidelines for an encounter - whichever one is more beneficial.

    Lance Smith, MPA, COC, CPMA, CEMC, RHIT, CCS-P, CHC, CHPC

    Director, Health Information Management
    HealthAlliance of the Hudson Valley
    Kingston, NY

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