tci ED Coding & Reimbursement Alert - 2020 Issue Q2

You Be the Coder: Know How Thorough Student Documentation Must Be

Question: We currently have a few students working in our ED. In these cases, the chart note is linked to the supervising physician but signed by the student, then cosigned by the supervising provider. There is no note that the student saw the patient besides signing the note. Is this enough documentation for this situation? South Carolina Subscriber Answer: Yes, it should be based on recent changes. Last year, CMS issued a revision to a Medicare manual that allows teaching physicians to use all student documentation for billable services, provided that the teaching physician verifies the documentation. The teaching...

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