tci ED Coding & Reimbursement Alert - 2002 Issue 9

Coding Resident Services From Non-ED Specialties

Even after a coder in a teaching hospital learns the basics of Medicare's guidelines for reporting resident services, she often needs guidance applying those rules when a resident from another specialty is involved.Simple Resident Visits Frequently, the standard guidelines for supervising physicians in teaching settings, as found in section 15016 of the Medicare Carriers Manual, apply without complication.Scenario: A patient is seen in the ED for a non-displaced fractured finger. Because this hospital participates in an approved graduate medical education (GME) program, it has a policy to bring in an orthopedic resident for all fracture cases. The...

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