tci General Surgery Coding Alert - 2019 Issue Q4

Reader Question: Update Documentation for Med-Student Work

Question: We have a medical student working with us at our clinic. In patient encounters, the chart note is linked to the supervising physician, and it’s signed by the student and then cosigned by the supervising providers. There is no note that the student saw the patient besides the signing note. Do we need to use better documentation for this situation? Iowa Subscriber Answer: CMS issued a revision to the Medicare manual in 2018 that allows teaching physicians to use all student documentation for billable services provided that the teaching physician verifies the documentation. The teaching physician must...

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