The rules for E/M office visit coding documentation changed recently—a physician deciding on the right level of service for a patient no longer has to include the documented history and physical exam. Under the new rules, physicians can bill office or outpatient E/M encounters based solely on medical decision-making (MDM) or on the total time spent on the date of that encounter.
Learn more
- Debunking Regulatory Myths: Documenting Time for Each Task During Outpatient Visits
- Toolkit: Simplified Outpatient Documentation and Coding
- Podcast: Simplified Outpatient E/M Coding and Documentation
- Playbook: Reducing Regulatory Burden
