decisionhealth Newsletters, Coder Pink Sheets - 2018 Issue 3 (March)
E/M update: CMS curbs certain duplicative teaching documentation requirements
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Article Overview
This article explains a CMS policy update affecting teaching physicians and medical student documentation for evaluation and management services. It summarizes the change, its timing, and the related Medicare manual language so readers can understand the scope of the documentation update and whether it affects their workflow.
Why This Topic Matters
Teaching practices, compliance staff, and coding professionals need to understand documentation policy changes that affect how E/M services are recorded in the medical record and reviewed for Medicare billing.
Article Sections
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CMS policy update for teaching physician documentation
Introduces the Medicare policy change and the general reason it was issued. Covers the affected documentation workflow in teaching settings.
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Implementation timing and related CMS guidance
Summarizes the effective date, implementation date, and the CMS materials cited for the update. Also points readers to the related manual and transmittal references.
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Manual language before and after the change
Presents the prior and revised Medicare manual language discussed in the article. Focuses on the documentation categories affected by the update without reproducing coding instructions.
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Resources
Lists the CMS reference materials cited by the article for further review.
What You Will Learn
- How CMS revised teaching physician documentation guidance for E/M services
- Which types of documentation activities are addressed by the update
- Where to find the CMS manual and transmittal references mentioned in the article
- How the change may affect teaching physician review of student documentation
Who Should Read This
- Teaching physicians
- Medical students
- Compliance staff
- Medical coders
- Billing staff
- Revenue cycle professionals
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