E/M Coding Alert - 2010 Issue 25
Reader Questions: Use This Critical Info to Key to TP E/Ms
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Article Overview
This reader question article addresses Medicare teaching physician billing requirements for an emergency department evaluation and management service when a resident is involved. It is aimed at coders, compliance staff, and clinicians who need to understand the documentation and reporting topics discussed in the Medicare guidance cited by the article. The piece also touches on related diagnosis reporting for the encounter and references the governing Medicare manual and transmittals.
Why This Topic Matters
Teaching physician claims require specific documentation and reporting awareness, especially when residents participate in emergency department services. Understanding the article helps readers determine whether an encounter fits Medicare teaching physician rules and what general guidance sources are referenced.
Article Sections
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Question
Presents the coding and compliance scenario involving an emergency department visit with resident participation and a question about teaching physician billing.
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Answer
Summarizes the suggested reporting approach for the encounter and identifies the general documentation and billing considerations discussed in the response.
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The catch
Reviews the Medicare guidance sources cited by the article and the broader teaching physician documentation topics they address.
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Don't sweat it
Describes the general documentation concept that teaching physician notes may rely on resident documentation while still reflecting the teaching physician's participation.
What You Will Learn
- How the article frames teaching physician reporting for an emergency department evaluation and management visit
- Which Medicare guidance sources are referenced for resident and teaching physician documentation
- What broad documentation elements are discussed for teaching physician involvement
- How diagnosis reporting is presented in the context of the encounter
Who Should Read This
- Medical coders
- Compliance staff
- Billing specialists
- Physicians
- Residents
- Hospital outpatient coding teams
Codes Discussed
Modifiers Discussed
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