Definitive Guide to Documenting Time

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 is updated with the 2021 coding changes.

Don’t have a login? Become a member, or learn about the benefits of membership by clicking on the link below.

Get Unlimited Access to CodingIntel’s Online Library

Are you a coder, biller, administrator,
office manager or physician?

Learn more about the benefits of
a CodingIntel membership

click here!

Last revised August 18, 2021 - Betsy Nicoletti
Tags: general surgery_E/M services, level of service_time, primary care_E/M services

Our mission is to provide accurate, comprehensive, up-to-date coding information, allowing medical practices to increase revenue, decrease coding denials and reduce compliance risk. That's what coding knowledge can do.

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. For more about Betsy visit www.betsynicoletti.com.