tci ED Coding & Reimbursement Alert - 2002 Issue 5

Strict Rules Determine Payment for Resident Services

Because emergency medicine is ripe with learning opportunities, many medical students and residents complete part of their training in the ED. While beneficial to education, these relationships open the door for fraud and abuse when coders don't understand how to report care provided by these healthcare professionals."Simply put, most services rendered by a medical student cannot be billed" (see Classifications of Providers in box below), says Jim Blakeman, senior vice president for coding quality assurance with Healthcare Business Resources Inc., in Bala Cynwyd, Pa. The only services performed by a medical student that can be used in documentation...

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