Billing and Coding for the Hospitalist (Part 2)-Presentation

Video Transcription

Video Summary

The transcript explains medical decision-making (MDM) billing versus time-based billing for inpatient or observation care. MDM depends on clinical complexity, not total time, and is based on three parts: problems addressed, data reviewed, and treatment risk. Each is rated low, moderate, or high, and the overall level is determined by the average. The speaker gives criteria and documentation tips for each category. A case example shows moderate MDM but high time-based billing because 60 minutes were spent, making time-based coding preferable when it yields a higher level.

Meta Tag

Concept Medical Decision

Concept Overall MDM Level of Care

Concept Billing

Concept Time-Based Billing

Concept Problem

Keywords

medical decision-making

MDM billing

time-based billing

inpatient observation care

medical coding

Medical Decision

Overall MDM Level of Care

Billing

Time-Based Billing

Problem