ladybird
Contributor
Hello,
I would like guideness on the delivery record/report. I work at a residentency program.
The residents documents and a teaching physician must document also.
Is a delivery considered a major or minor procedure?
Medicare's guidelines state that OB procedures follow surgery documentation requirements. With that being said, a major procedure the op report is sufficient with no additional documentation from the teaching physician.
Minor procedures require the teaching physician to be present for the critical portions of the procedure and to document as such.
Major procedures are defined as procedures with global days.
Minor procedures are defined as procedures with no global or 10 day global procedures.
Deliveries vaginal or C-section have no global days.
Am I interpreting this correctly?
Lynn Wilks
I would like guideness on the delivery record/report. I work at a residentency program.
The residents documents and a teaching physician must document also.
Is a delivery considered a major or minor procedure?
Medicare's guidelines state that OB procedures follow surgery documentation requirements. With that being said, a major procedure the op report is sufficient with no additional documentation from the teaching physician.
Minor procedures require the teaching physician to be present for the critical portions of the procedure and to document as such.
Major procedures are defined as procedures with global days.
Minor procedures are defined as procedures with no global or 10 day global procedures.
Deliveries vaginal or C-section have no global days.
Am I interpreting this correctly?
Lynn Wilks