cpccoder2008
True Blue
When a patient is seen by a resident along with a physician the staff is supose to write documention showing his involvment. That part we understand. Our doctor's usually exam the patient after the resident and write something like " Patient seen and examined along with resident, agree with all residents findings" Or "Patient seen and examined along with resident, agree with resident's findings except for ____ " My question is, can we apply this statement to our actual medical record and have the doctor check it off wheather he was present or not and sign or does he have to physically write this statement each time. Also they want to know if they can make a stamp with this actual statement that way they just have to sign and make any changes to the findings. I know that CMS clearly states no stamp signatures but this wouldn't be a signature, it woud be an automatic statement that is on every progress note. Thank you in advanced.