Medical Economics March 15, 2021
Renee Dowling

Answers to common questions.

Below is a listing of questions and answers regarding some of the nuances of billing Evaluation and Management office visits based on time.

The new 2021 E/M coding guidelines for office visits (99202-99205, 99212-99215) allow physicians and qualified health professionals (QHP) to choose whether their documentation and code-selection level for E/M services provided is based on medical decision making (MDM) or total time spent on the date of the patient encounter.

The definition of time was changed to total time spent on the day of the patient encounter, not typical time, and represents total physician or QHP time on the date of service. This includes the time in activities that require the...

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Topics: CMS, Govt Agencies, HIM (Health Inf Mgmt), Insurance, Medicare, Physician, Primary care, Provider, RCM (Revenue Cycle Mgmt), Technology
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