The end of the Public Health Emergency has occurred, but confusion about resident services continues. These licensed physicians are still in training and their work is overseen by teaching physicians and programs. Both of which have rules and regulations that are unique to them but often confused with other situations.
These training programs, generally, get some funding from the Medicare system which is why we look to CMS/Medicare for rules regarding coding and billing and the documentation of services these residents perform. What types of patients care they can perform is determined by where they are in their training and their individual program guidelines. The level of supervision CMS/Medicare requires them to have is found within Medicare’s Policies and Procedures and refers to the Key portions of the service. CMS/Medicare gives guidance on who can document what, when residents are performing a service with a patient.
When the PHE ended, like trying to put a Gennie back in the bottle, it was and has been difficult for entities to go back to the old CMS/Medicare rules. Find out what you need to know for this year and next!
• What level of supervision is required for residents?
• What documentation of that supervision is required?
• What can residents, interns or medical students document?
• What documentation must the teaching physician make?
• Where does the teaching physician need to be located during a patient service performed by a resident?
• Can residents perform telehealth visits?
Jill M Young is the Principal of Young Medical Consulting, LLC. A company founded 18 years ago to meet the education and compliance needs of physicians and their staff Jill has over 40 years of medical experience working in all areas of the medical practice including clinical, billing and rounding with physicians. Her unique style of working with physicians is not only effective but helps bridge the gap between coders and physicians from a practical perspective. Her comments and opinions can be seen in several publications and also heard on a variety of audio-conferences. Her background gives her a unique style of teaching using real life examples of coding and billing situations. She hates…