BC Advantage - 2019 Issue 2
Attestations Teaching Physicians vs Split Shared Visits
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Article Overview
This article discusses physician attestation in the context of resident-involved services, split/shared visits, and teaching physician documentation. It summarizes updated CMS guidance, contrasts Medicare requirements with broader payer variation, and explains the general compliance themes that matter to physicians, coders, and audit teams.
Why This Topic Matters
Understanding these documentation distinctions helps practices support compliant billing for services involving residents or non-physician practitioners and avoid relying on language that may not meet payer expectations.
Article Sections
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What's an 'attestation'?
Introduces the article’s use of the term and distinguishes among documentation scenarios involving residents, scribes, and split/shared encounters. It sets up the general compliance context for the rest of the discussion.
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What's required for a split/shared visit?
Reviews the general documentation themes for split/shared encounters and the Medicare setting in which these services are addressed. It focuses on the broader requirement that both providers contribute to the visit documentation.
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What's required for a teaching physician note?
Summarizes the teaching physician documentation topic and the effect of updated CMS guidance on note language. It also addresses how the article frames Medicare-specific versus payer-specific expectations.
What You Will Learn
- How the article distinguishes among different documentation scenarios involving physicians and other clinicians
- What updated CMS guidance changes in the teaching physician context
- Why split/shared visit documentation is treated differently from a standard attestation
- How payer variation can affect documentation expectations
Who Should Read This
- Physicians
- Teaching physicians
- Coders
- Clinical documentation staff
- Compliance teams
- Audit and revenue cycle professionals
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