tci ED Coding & Reimbursement Alert - 2016 Issue 8

Reader Question: Gee, Do You See A GC Modifier Application Here?

Question: Do we need a GC modifier on our teaching physician claims? Oklahoma Subscriber Answer: The requirement for the resident to document a note is based on either or both of the following: The institution where the services are being provided wants the resident to document in the medical record as part of the educational process or for medicolegal reasons. The CPT® codes assigned to the encounter will be based, in part, on the work and documentation of the resident. If your facility requires documentation based on the first reason then the second reason is a moot point since...

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