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Time limits on completing documentation of E&M codes

  1. #1
    Greensboro, NC
    Default Time limits on completing documentation of E&M codes
    Medical Coding Books
    I have read previously (somewhere) that CMS recommends that documentation of E&M codes be completed in 48 hours of seeing the patient. I would like to have that in print. I have searched the CMS website and our Medicare carrier and have been unable to find any such guidelines. Any help would be appreciated.
    Cynthia Robinson, RT, CPC

  2. #2
    North Carolina
    Documentation Pointers

    -Medicare expects the documentation to be generated during the time of service or shortly thereafter.

    -Delayed entries within a reasonable time frame (24-48 hrs.) are acceptable for purposes of clarification, error correction, the addition of information not initially available, and if certain unusual circumstances prevented the generation of the note at the time of service.

    Rebecca CPC, CPMA, CEMC

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  3. #3
    Greensboro, NC
    You are the greatest, thanks.

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