tci ED Coding & Reimbursement Alert - 2018 Issue 4

Documentation: CMS Rethinks Its Policy on Students' E/M Documentation

New policy will be a plus for EDs nationwide. Every hospital-based staff member has seen this situation in action: A teaching physician works with a medical student as she sees patients throughout the ED. The medical student documents the E/M service performed - and then the teaching physician has to re-document every element of it afterward. This double-documentation requirement has been a thorn in the side of many practitioners nationwide, but the good news is that CMS has alleviated some of that burden for future student/teacher E/M services. Here's why: CMS has released a significant change in its position...

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