Why physicians must act now to address outpatient documentation challenges

In addition to no longer calculating certain elements for code selection and giving physicians more flexibility in classifying their documentation, the new guidelines will alter criteria to place a greater focus on activities directly related to patient care medical decision-making. Starting on Jan. 1, 2021, time spent obtaining or reviewing patient records and tests prior to a visit, plus ordering medications or procedures, will be calculated by the “total time” the provider spent on that day. The same goes for counseling patients, family members,...