tci ED Coding & Reimbursement Alert - 2015 Issue 4

Reader Question: Make Sure The Link Is Strong Before Counting Resident Documentation

Question: If no linking statement by the attending is present, which part of the resident’s note may be used in levelling an E/M service for a Medicare patient? Virginia Subscriber Answer:  There has to be a linking statement along the lines of those pasted below from Transmittal 2303. Additionally, though the ROS and Past/Family/Social History may be gathered by anyone they must be reviewed and confirmed by the physician. Following are examples of minimally acceptable documentation from CMS:  “I performed a history and physical examination of the patient and discussed his management with the resident. I...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.


You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1998 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci ED Coding & Reimbursement Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.