tci ED Coding & Reimbursement Alert - 2019 Issue 6

Reader Question: Get the Scoop on Student Documentation

Question: We have a student currently at our clinic. Is this correct on documentation rules? The chart note is linked to the supervising physician but signed by the student then cosigned by the supervising providers. There is no note that the student saw the patient besides signing note. Any special documentation that needs to be done in this situation? Supercoder.com Subscriber Answer: 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 physician must either personally...

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