{"id":2093,"date":"2022-06-27T09:41:24","date_gmt":"2022-06-27T13:41:24","guid":{"rendered":"https:\/\/health.uconn.edu\/healthcare-compliance-privacy\/?p=2093"},"modified":"2023-02-15T16:09:59","modified_gmt":"2023-02-15T21:09:59","slug":"medical-student-documentation","status":"publish","type":"post","link":"https:\/\/health.uconn.edu\/healthcare-compliance-privacy\/2022\/06\/27\/medical-student-documentation\/","title":{"rendered":"Medical Student Documentation"},"content":{"rendered":"<div id=\"pl-2093\"  class=\"panel-layout\" ><div id=\"pg-2093-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-2093-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-2093-0-0-0\" class=\"so-panel widget widget_black-studio-tinymce widget_black_studio_tinymce panel-first-child panel-last-child\" data-index=\"0\" ><div class=\"textwidget\"><p>Did you know that Medicare allows teaching physicians to utilize medical student documentation to support billing evaluation and management (E&amp;M) services?<\/p>\n<p>The following criteria must be met when billing for services documented by medical students:<\/p>\n<ul>\n<li>Services must be E&amp;M services (diagnostic and therapeutic services are prohibited).<\/li>\n<li>Medical students may document any and all components of the E&amp;M service.<\/li>\n<li>E&amp;M services must be performed in the physical presence of a teaching physician or resident.<\/li>\n<li>The teaching physician must personally perform (or re-perform) the physical exam and medical decision-making.<\/li>\n<li>The teaching physician must verify medical student documentation (residents are prohibited from verifying student documentation).<\/li>\n<li>Proof of teaching physician verification should be documented using an attestation.&nbsp;\n<p><a href=\"https:\/\/www.cms.gov\/Regulations-and-Guidance\/Guidance\/Manuals\/Downloads\/clm104c12.pdf\"><\/a><\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><div id=\"pg-2093-1\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-2093-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-2093-1-0-0\" class=\"so-panel widget widget_black-studio-tinymce widget_black_studio_tinymce panel-first-child panel-last-child\" data-index=\"1\" ><div class=\"textwidget\"><h3>Example of a Suitable Attestation<\/h3>\n<blockquote><p>\u201cThe medical student was personally supervised by me or my resident (resident\u2019s name) during the patient examination. I personally performed a physical exam and the medical decision-making. I made appropriate changes to the documentation and the assessment and plan based on my verification, exam, and medical decision making.\u201d<\/p><\/blockquote>\n<p>You can find the Medicare guidance in Chapter 12 Section 100.1.1 of the Medicare Claims Processing Manual: <a href=\"https:\/\/www.cms.gov\/Regulations-and-Guidance\/Guidance\/Manuals\/Downloads\/clm104c12.pdf\">Medicare Claims Processing Manual (cms.gov)<\/a><\/p>\n<p>Please <a href=\"https:\/\/health.uconn.edu\/healthcare-compliance-privacy\/contact-us\/\">contact<\/a> the Office of Healthcare Compliance and Privacy for further guidance.<\/p>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Did you know that Medicare allows teaching physicians to utilize medical student documentation to support billing evaluation and management (E&amp;M) services? The following criteria must be met when billing for services documented by medical students: Services must be E&amp;M services (diagnostic and therapeutic services are prohibited). Medical students may document any and all components of [&hellip;]<\/p>\n","protected":false},"author":38,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"wds_primary_category":0,"footnotes":""},"categories":[1],"tags":[],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-24 03:01:59","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"_links":{"self":[{"href":"https:\/\/health.uconn.edu\/healthcare-compliance-privacy\/wp-json\/wp\/v2\/posts\/2093"}],"collection":[{"href":"https:\/\/health.uconn.edu\/healthcare-compliance-privacy\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/health.uconn.edu\/healthcare-compliance-privacy\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/health.uconn.edu\/healthcare-compliance-privacy\/wp-json\/wp\/v2\/users\/38"}],"replies":[{"embeddable":true,"href":"https:\/\/health.uconn.edu\/healthcare-compliance-privacy\/wp-json\/wp\/v2\/comments?post=2093"}],"version-history":[{"count":2,"href":"https:\/\/health.uconn.edu\/healthcare-compliance-privacy\/wp-json\/wp\/v2\/posts\/2093\/revisions"}],"predecessor-version":[{"id":2481,"href":"https:\/\/health.uconn.edu\/healthcare-compliance-privacy\/wp-json\/wp\/v2\/posts\/2093\/revisions\/2481"}],"wp:attachment":[{"href":"https:\/\/health.uconn.edu\/healthcare-compliance-privacy\/wp-json\/wp\/v2\/media?parent=2093"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/health.uconn.edu\/healthcare-compliance-privacy\/wp-json\/wp\/v2\/categories?post=2093"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/health.uconn.edu\/healthcare-compliance-privacy\/wp-json\/wp\/v2\/tags?post=2093"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}