I agree with the residents note as documented i have seen and evaluated the patient. The attestation form may be completed when the claim documentation under review has an illegible signature.
Your Presence Is Required The Teaching Physician Guidelines
Residents cannot document the teaching physician attestation on behalf of the physician under any circumstance.
Attestation statement resident. It must be clear in the note when the resident saw the patient and when the teaching physician saw the patient. Discussed attestation administrative attending note. A statement that says simply i agree with the residents documentation is not acceptable.
I agree with the residents note. Those comments which are often referred to as attestations may be brief summaries of the residents entry confirming or revising information that residents have already supplied. Attestation statements from someone other than the author of the medical record entry in question are not acceptable.
The attestation must be clear for example that the provider personally saw and managed the patients care with the resident. Cms rules require the teaching physician to document their presence participation and management of the patient. An attestation after the date of service is acceptable in most cases.
Em outpatient attestation outpatient visit with gc modifier supervised resident patient seen by resident and teaching physician i have seen and evaluated the patient. Two individuals in the same group may not sign for the other in medical record entries or attestation statements. For dgme and ime payment purposes a resident means an intern resident or fellow who is formally accepted enrolled and participating in an approved medical residency program including programs in osteopathy dentistry and podiatry as required to become certified by the appropriate specialty board.
The resident performs the elements required for an em service in the presence of or jointly with the attendingteaching physician and the residentfellow documents the service. Signature attestation statement providers must make every effort to sign documentation before billing a service. Most physicians have their own way of stating an attestation which is fine if its acceptably stated.
I have reviewed the above note and agree with the findings plan and documentation. Teaching physicians must use caution when appending attestation statements to resident notes on the following calendar day. I have reviewed the evaluation and management of this patient in clinic on the original date of service with the resident physician.
In this case the attendingteaching physician must document that heshe was present during the performance of the critical or key portions of the service and that heshe was directly involved in the management of the patient.
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