⚕️
E/M Prompt Generator
Structured billing review → Copilot M365
✅ Get M365 Don't have Copilot yet?
1. Click Get M365
2. Sign in with your UPMC credentials
3. Complete the activation steps
Then return here and click Open Copilot M365.
🪟 Open Copilot M365 🔒 No PHI Demo Only Not for decisions
Reminder: In your actual note, document total minutes on the date of service (face-to-face + qualifying non–face-to-face) if using time-based coding.
Total time = face-to-face + qualifying non–face-to-face work
Face-to-face: time with patient/family doing history, exam, counseling, shared decision-making.
Qualifying non–face-to-face (same day, this visit only): reviewing today's records/tests, obtaining collateral history, ordering tests/meds, documenting the note, and coordinating care.
Do not count: time for separately billed services, generic inbox/paperwork, teaching, or work on other dates.

Typical office time grid (reference only):
• Straightforward – 99202 (new 15–29) / 99212 (est 10–19) min
• Low – 99203 (new 30–44) / 99213 (est 20–29) min
• Moderate – 99204 (new 45–59) / 99214 (est 30–39) min
• High – 99205 (new 60–74+) / 99215 (est 40–54+) min

Example dotphrase:
.EMTIME Total time personally spent on the date of service on this encounter (including pre-visit review, face-to-face evaluation/management, and post-visit documentation and care coordination, excluding separately billable services): ____ minutes.
1Paste De-identified Note
Required
0 words
2Encounter Setting
Setting
Office Encounter Type
3Face-to-Face Time
Optional but valuable
Approximate total time on date of service (minutes)
minutes
Enter total time personally spent on the date of service (face-to-face + qualifying non–face-to-face work, same day only). Leave blank if unknown — the AI can speculate from note length, but will label this clearly as an estimate, not a documented value.
4Analysis Options
Core Analysis (Pre-selected)
MDM Grid Analysis (2 of 3)
Problems, Data, Risk — 2021 AMA grid classification
Core
Documentation Gate
Cap level if note is brief/vague/missing A&P
Core
Modifier Hints
-25, -AI, -95 suggestions when documentation supports
Core
Red Flags
Flag documentation issues, upcoding risks, missing elements
Core
Level Up — Additional Depth
⏱️ Time-Based Billing Comparison
Compare MDM level vs time-based level if time is provided or estimable
Optional
📊 HCC Extraction
Hierarchical Condition Categories assessed & addressed today
Optional
⚕️ OpenEvidence Integration
Flag uncommon items for clinical evidence review via OpenEvidence (PubMed-grounded medical AI). Link will be surfaced in the response.
💊 Uncommon Medications Review
Flag unusual drugs, interactions, off-label use → link to OpenEvidence
OE Link
🔬 Uncommon Diagnoses Review
Flag rare or complex dx → link to OpenEvidence for latest evidence
OE Link
5Generated Prompt
Tip: After opening Copilot, select "Think Deeper" mode before pasting for the best analysis.
No prompt generated yet. Paste a de-identified note, select your encounter settings, and click Generate.
After Copilot opens, click in the chat box and press Ctrl+V (Windows) or ⌘+V (Mac) to paste.