CodingIntel

Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

Definitive Guide to Documenting Time

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This is an E/M reference using the 1995/1997 guidelines. As of Jan 1, 2023 it will no longer be in use. Why have we kept it on the site? In case you are auditing office services from prior to 2021 or all other E/M services prior to 2023.

Office visits, inpatient care, prolonged services, critical care…properly documenting time can help ensure that you receive the maximum allowable payment for the time you spent with the patient. Use this handy reference guide to make sure your documentation includes all the necessary components.

This reference does not reflect 2023 changes.

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- Betsy Nicoletti
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CPT®️️ is a registered trademark of the American Medical Association. Copyright American Medical Association. All rights reserved.

Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions.