Payer Updates:
Get to Know Medicare's Teaching Physician Guidance
Published on Wed Sep 14, 2011
Plus, stick to standard CMS processes despite revalidation requests.Medicare's teaching physician rules have long confused medical practices, but CMS aims to fix that problem but issuing several updates to its Medicare Claims Processing Manual, with Transmittal 2247.The transmittal offers a clarification to Section 100.1.1 of the Manual, which discusses documentation instructions for E/M services performed by teaching physicians. Specifically, it addresses what the documentation must include when a resident admits a patient to a hospital late at night, but the teaching physician doesn't see the patient until later (often the next day). CMS notes that the following are required in these circumstances:The teaching physician (TP) must document that he personally saw the patient and participated in the patient's management. He can reference the resident's note instead of re-documenting the HPI, exam, medical decision making (MDM), review of systems, and/or past, family and social history as long as the patient's condition [...]