On February 2018, the Centers for Medicare and Medicaid Services (CMS) issued a revision to its medicare manual, which allows teaching physicians to utilize student documentation for billable services provided that the attending verifies the student’s notes. The teaching physician must either personally perform or re-perform the physical exam and medical decision-making but does not need to re-document.
AAIM, led chiefly by CDIM, worked with stakeholders on the Internal Medicine Education Advisory Board (IMEAB) to advocate for this change. Resources clarifying the new policy and processes developed by member institutions to meet the new conditions were shared within the AAIM community.
The Alliance for Clinical Education (ACE) established a resources page dedicated to the CMS guidelines on student documentation. ACE acquiesced to be the central repository of sources, and the AAIM has provided them with additional references.
ACE CMS guidelines resources page