tci ED Coding & Reimbursement Alert - 2005 Issue 8

Reader Questions: Ask for Specificity From TP

Question: What should I look for in the documentation to make sure the teaching physician (TP) has satisfied the Medicare supervision requirements?Kentucky Subscriber Answer: Medicare requires that the teaching physician either see the patient solely or, if in conjunction with the resident, perform the key/critical aspects of the patient's evaluation and participate in the management of the patient. Example: When the TP refers to the resident's documentation, he may write, "I performed a history and physical exam of the patient and discussed his management with the resident. I reviewed the resident's note and agree with the documented...

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