CMS states the critical or key portions of the service must be performed by the teaching physician or they must be present and the teaching physician’s management of the patient must be documented. I am having a discussion with 2 medical directors who state a canned message added in an addendum or a template used to check of what was reviewed by the teaching physician is sufficient. Is there anyone who has any experience coding and billing for an resident? I was thinking they need to add in their own exam elements and their agreement or addition to the residents management.

Thank you
Rebecca Jones CPC