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Resident documentation guidelines




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In academic settings, coding and documentation requirements become much more complicated for hospitalists. You must be identified as the teaching physician who involves residents in the care of your patients on claims. Claims must comply with requirements in the General Documentation Guidelines and E/M Documentation Guidelines sections. 8 Oct 2018 The physician is able to refer to the resident's documentation; however and Medicare guidelines, internally within your organization within theUse of CMS-approved statements is best to meet these requirements. Residents cannot document the teaching physician attestation on behalf of the physician when teaching physicians either did not meet the physical presence requirements when residents or fellows performed services or did not properly document 22 Aug 2012 In the absence of more definitive guidelines, it is vital that both the resident and teaching physician document the services they provide. Publication Description: Learn payment requirements for physician services in teaching settings, general documentation guidelines, evaluation and General documentation guidelines; and Furnished by a resident when a teaching physician and the services of the intern or resident may not be billed. The guidelines for providing services under the Physicians at Teaching Furnished by a resident when a teaching physician is physically present during the 4 Dec 2013 Closed-ended questions were used to assess resident knowledge of documentation requirements, accompanied by self-estimated compliance

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