Time is considered the controlling factor for determining the level of E/M service if counseling with the patient or family members constitutes more than 50% of the encounter.

Question

Quizplus · Accepted Answer

According to the CMS guidelines, time is considered the controlling factor when counseling with the patient or family members constitutes more than 50% of the encounter. The total time spent with the patient, including non-face-to-face activities such as reviewing test results and preparing reports, should be documented to determine the appropriate level of E/M service.

Time Is Considered the Controlling Factor for Determining the Level