All of the following are impacts of the E/M coding changes, EXCEPT __________.

The option stating "Reduced ability to code based on total time" accurately reflects a significant aspect of the Evaluation and Management (E/M) coding changes. Under the revised E/M guidelines implemented in 2021, there was a refinement in how coding based on time is applied. Previously, coding could be primarily determined by total time spent on a patient, allowing providers to select a level of service based heavily on time activities, including non-face-to-face work.

In the updated guidelines, while time can still be a factor in determining the level of service, the focus has shifted more towards the complexity of medical decision making and the overall care provided during the visit. This adjustment means that while total time remains relevant, it is not the sole criterion for coding levels, thus maintaining the importance of accurate description of work done rather than merely the duration of the visit. This change encourages thorough documentation and clarity in what constitutes the services rendered, leading to the other options being valid impacts of the E/M coding changes.

Therefore, the correct answer highlights that the ability to code based on total time has not been reduced; instead, it has been repositioned as part of a more comprehensive approach to E/M coding, thus leading to improvements in documentation, clarity, and accuracy in