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standards applicable to the provider, for each recipient. The clinical record must include

(1) information that identifies the recipient’s diagnosis;

(2) information that identifies the medical need for each service;

(3) identification of each service, prescription, supply, or plan of care prescribed by the provider;

(4) identification of prescription drugs dispensed in accordance with 7 AAC 120.100 — 7 AAC 120.140;

(5) start and stop times for time-based billing codes;

(A) a provider may only bill for a unit of service if the actual direct service time spent is in excess of 50 percent of the time value of the procedure code billed;

(B) direct service time associated with a particular procedure code shall be calculated in the aggregate by the direct service provider for each date of service when determining the appropriate number of units that may be billed;

(C) a provider may not use pre-populated clinical notes or time-sheets to document actual start and stop times;

(D) a provider may not bill for services without proper start and stop times documentation;

(E) the use of documentation that does not specify both start and stop times will result in an overpayment;

(F) the following table shall be used when billing for time-based billing codes under this section and identifies the appropriate number of units to bill using a 15-minute time-based code: Units Number of Minutes of Direct Service Time 1 >= 8 minutes through 22 minutes 2 >= 23 minutes through 37 minutes 3 >= 38 minutes through 52 minutes 4 >= 53 minutes through 67 minutes