Even Better Together.The quality and quantity of tools such as workshops, presentations and curriculum support is magnified when we work together.
Medical Student Documentation
New Guidelines from CMS on E/M Service Documentation Provided by Students
February 2, 2018: The Centers for Medicare and Medicaid (CMS) has released a revised transmittal, Pub 100-04 Medicare Claims Processing Manual, which “allows the teaching physician to verify in the medical record any student documentation of components of E/M services, rather than redocumenting the work.” The revised guideline reads:
“Students may document services in the medical record. However, the teaching physician must verify in the medical record all student documentation or findings, including history, physical exam and/or medical decision making. The teaching physician must personally perform (or re-perform) the physical exam and medical decision making activities of the E/M service being billed, but may verify any student documentation of them in the medical record, rather than re-documenting this work.”
The change has an implementation date of March 5, 2018.
Disclaimer: there has been no peer review conducted with submitted resources; AAIM reserves the right to reject submissions.