ARCHIVE The 1995/1997 Documentation Guidelines are gone beginning 1-1-2023. (Ding dong….) However, we will still need to use them when auditing notes from before 2023. This article does not apply to services performed after 1-1-2023. Question: When counting the chronic conditions for the history of the present illness (HPI) can the status of the condition […]
Archives for May 2019
Teaching Physician Rules – Evaluation and Management Services
CMS policy update: E/M services performed under the teaching physician rules Download this teaching physician rules quick reference sheet for a summary of the rules. The CMS rules got a major update with the April 26, 2019 Transmittal 4823. A transmittal is a communication from CMS to the Medicare Administrative Contractors. It is followed by […]
Teaching Physician Rules – Psychiatric Services
In psychiatry if reporting time-based psychotherapy services, the time of the attending physician is the time used to select the code. For psychiatry services that are not time based, the requirement for the presence of the physician may be met if the attending uses a one way mirror or video (not audio) equipment. This concurrent […]