tci ED Coding & Reimbursement Alert - 2002 Issue 8

Clarification of Resident Services

An article titled "Strict Rules Determine Payment for Resident Services" in the May edition of ED Coding Alert requires clarification. On page 36, the article stated: "The only services performed by a medical student that can be used in documentation are the history of the present illness (HPI) and review of systems (ROS), which can be recorded by any ancillary personnel and referenced by the physician as to review and agreement." In fact, the services that can be appropriately gathered by a medical student are ROS and past, family, social history (PFSH), not HPI and ROS, as several...

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