kjstearns
Guru
Can anyone point me to documentation that support the following statements? They are from an AAPC article years ago but have recently come up in our practice. I've included the link to the original article below. Any guidance would be GREATLY appreciated!!
Documentation required in the medical record:
1. A statement that no qualified resident was available to perform the service, or
2. A statement indicating that exceptional medical circumstances exist, or
3. A statement indicating the primary surgeon has an across-the-board policy of never involving residents in the preoperative, operative, or postoperative care of his/her patients.
https://www.aapc.com/blog/23393-assistant-at-surgery/
Kirsten White, CPC
Documentation required in the medical record:
1. A statement that no qualified resident was available to perform the service, or
2. A statement indicating that exceptional medical circumstances exist, or
3. A statement indicating the primary surgeon has an across-the-board policy of never involving residents in the preoperative, operative, or postoperative care of his/her patients.
https://www.aapc.com/blog/23393-assistant-at-surgery/
Kirsten White, CPC