tci ED Coding & Reimbursement Alert - 2001 Issue 9

Reader Question: Supervising Physicians

Question: We are a teaching hospital that trains residents in emergency medicine. When a resident and staff physician treat a Medicare patient, we get dictation from both. Is it necessary, according to Medicare guidelines, that the staff dictation be able to stand alone for coding purposes or can the physician just refer to the residents dictation for better details on the history of present illness or review of symptoms?Wisconsin Subscriber Answer: The Medicare Carriers Manual (MCM) 15016, Supervising Physicians in a Teaching Setting, states: Initial Hospital Care, Emergency Department Visits, Office Visits for New Patients, Office Consultations and...

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