Time
Considering the time spent on clinical care may drive the level of service in some circumstances and environments. While Medical Decision Making usually determines level of service, very time intensive services can be represented by a higher level of service based on the time involved. The current definition is more in line with modern clinical practice — all of the time you spent in all tasks related to the care of a patient on the date of service counts (not just face-to-face efforts). Check out our brief slide deck on Time or listen to our short podcast on Time (coming soon).
NOTE: Billing on time does not apply to some environments, like Emergency Medicine outside of critical care in that setting.
Reference Handouts
Many simple reference handouts have been created trying to get you the information you need at your fingertips when you need to reference it in your busy day. The MASTER Handout is Professional Billing (E&M) Documentation Guidelines and Definitions for 99202-99215. Keep this one handy and check out the additional one-page items for helpful information.