Coding and Documentation for Time Based CPT Services

How to Appropriately Document Time-based Coding to Ensure Correct Reimbursement

Time is a perplexing subject in the world of coding. It’s quite common to get different answers when it comes to time-based coding as it is clearly one of the least-understood elements in Evaluation and Management (E/M) Service coding. Different from other E/M patient encounters which use history, components, physical practice etc. for coding, time-based coding uses time as the key component. Time is listed in CPT^® manual merely as a guideline, and on the other hand, a variety of codes are listed by CPT^® that are time-dependent and use codes for prolonged services. So there is continuous confusion regarding the importance of time, especially when you’re coding long office and inpatient visits.

Many CPT^® codes can be assigned based on time, but the requirements may vary by code.  Office visits, critical care, chronic care management – among others – all have different requirements for documenting and coding based on time. Practices either lose out by not billing based on time when they could – or they incur audit risks because they do not document the time appropriately.

Join this conference by expert speaker Kim Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, to learn the requirements for various time-based codes and recommendation of appropriate documentation to ensure correct reimbursement – and ensure that you get to keep the money if audited. Get to know various examples of appropriate documentation, the correct ways to track time and what are the payer requirements regarding time.

Session Highlights:

• Insight on CPT^® time rule. Identifying the CPT^® codes that can be billed based on time
• Discussion on the appropriate documentation of time
• Review of Medicare Claims Processing Manual Chapter 12, Section 30.6
• Is time only counted if face-to-face? Or does prep time count?
• Prolonged services : How to appropriately count, document, and bill for prolonged services
• Insights on Critical care issues, documentation and more
• Can we round up to the next time unit?
• What about palliative care? Discharge day management, Advance Care Planning
• Is there a difference among payers?
• Examples of appropriate documentation
• Ways to track time
• Chronic Care Management Services
• Knowing what payer requirements are regarding time

Who should attend?

All specialties – physicians, managers, coders, billers

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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