Tips & Expertise: 2023 E/M Changes

Q:  Can time spent pre-charting the day before or charting notes a day after the date of the encounter be counted towards the total time for the E/M?​ A:  Per time guidelines, only time spent on the date of the patient encounter can be counted towards the total time...

Tips & Expertise: 2022 CPT Profee Updates

Q:  What’s the purpose of category III codes?​ A:  The use of category III codes allow data collection for these services/procedures.  Use of unlisted codes does not offer this.  If a category III code is available and describes the procedure performed, it must be...

Social Determinants of Health Example Case Studies

​Social determinants of health (SDOH) are the environmental conditions where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life risks and outcomes. Some examples include income level,...

Tips & Expertise: 2021 E/M Changes

Q: Can we count resident’s time?A: No. Teaching physician rules haven’t changed. Resident time is not billable. Q: Do you need to document exactly how you spent your time with the patient, or just the total minutes?A: It is recommended to document total minutes plus...