When to Bill on Time versus Complexity in Palliative Care
Summary
Counseling and care coordination topics to bill on time are: • Risks and benefits of management or treatment choices When to Bill on Complexity There are four levels of medical decision-making that go into determining the patient’s complexity: straightforward, low, moderate and high. These levels relate to the complexity of deciding a diagnosis and a care management plan. Factors considered are the number of patient diagnoses, the amount of medical information that must be reviewed and any risks of complications. With some time codes requiring at least a 30-minute visit, this quarter hour saved can make a difference in a busy clinician’s day. Always keep in mind that your focus should remain on providing quality, compassionate care that is best for the patient, not the best reimbursement.
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