tci Medicare Compliance & Reimbursement - 2018 Issue 5

Documentation: CMS Revises Medical Student E/M Documentation Policy

Hint: New guidelines ease reporting restrictions. Many Medicare providers feel bogged down by paperwork that impedes the delivery of care. Since last fall, however, clinicians may have noticed updates that aim to cut back on this problem. An important policy change suggests CMS remains steadfast in this charge to reduce providers' administrative burdens. Medicare providers have seen this situation in action: A teaching physician works with a medical student as she sees patients throughout the hospital. The medical student documents the E/M service performed - and then the teaching physician has to re-document every element of it afterward. This...

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