key: cord-011451-nnunjora
authors: Kolitz, Elysha; Smith, Austin; Taylor, Oliver; Mauskar, Melissa M.; Goff, Heather
title: “Considerable unreimbursed medical care is delivered through electronic patient portals: a retrospective review”
date: 2020-05-19
journal: J Am Acad Dermatol
DOI: 10.1016/j.jaad.2020.05.054
sha: 
doc_id: 11451
cord_uid: nnunjora

nan

We conducted a retrospective review to assess patient-initiated messages on the online portal 37 used in the dermatology clinic at UT Southwestern Medical Center called "MyChart. and medical history questionnaires. The message type was verified, and medical advice requests 50 were reviewed independently by each author. Encounters where physicians managed the entire 51 patient complaint through the MyChart portal were considered as separate electronic E&M 52 services of the patient's concern utilizing the CMS guidelines and thus potentially eligible for 53 provider reimbursement. 54 55 There was a steady rise in patient-initiated MyChart encounters each year (Figure 1 ). Contact 56 hours and patient clinic encounters also rose during this same time period, but the rise in 57 messages outpaced the time spent in face-to-face care (Figure 2 ). In our sample, 58% of the 58 messages were medical advice requests and 30.75% of all messages met criteria for separate 59 E&M services via the portal. Other categories of messages included 22% for appointment 60 changes, 13.50% for history questionnaires, and 6.5% for medication refill requests. 88  89  90  91  92  93  94  95  96  97  98  99  100  101  102  103  104  105  106  107  108  109  110  111  112  113 

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CPT® codes (99421-99423) -and payment for -online digital evaluation and 126 management (E/M) services. CodingIntel

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