tci ED Coding & Reimbursement Alert - 2004 Issue 2

Get a Grip on Medical Notes for Teaching Physician Rules

Use these expert tips for surefire documentation Knowing how and when to report evaluation and management services under the teaching physician rules launches you over one hurdle - but unless you also know what to look for in the physician documentation, you'll be back at square one. To satisfy documentation requirements, the physician should either write a separate medical note, as in a non-teaching setting, or refer to the resident's note from the earlier visit, says Jillian H. Kuruc, MHA, CPC, CCS-P, a clinical technical editor with Ingenix Health Intelligence in Binghamton, N.Y. When the TP...

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