tci Part B Insider - 2003 Issue 6

EVALUATION & MANAGEMENT: Outpatient Teaching Doctors Face Confusion

When the Centers for Medicare & Medicaid Services unveiled new documentation requirements for teaching physicians late last year, many rejoiced. Finally, physicians wouldn't have to repeat documentation already provided by residents. The change affects evaluation and management services provided by residents and billed by teaching physicians, according to the American College of Physicians-American Society of Internal Medicine. Medicare auditors must consider the combined medical record entry of the teaching physician and the resident when deciding whether documentation justifies the level of service the teaching physician billed. But some outpatient physicians who teach medical residents say the new guidelines present...

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