• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

Gyn Exam by a Resident

Messages
1
Best answers
0
In a teaching physician environment. The resident does the E & M, the gyn exam and pap smear. Does the supervising staff have to be present for the GYN Exam or just for the key portions of the visit as they see fit?
Thanks for your input and any supporting documentation would be helpful.
 
Messages
4,466
Location
Milwaukee WI
Best answers
0
Depends on the payor

Medicare requires that the teaching physician be physically present for the entirety.

Medicaid (in my state) allows the "presence" to be in the immediate vicinity, as long as the teaching physician documents his/her participation and presence for the key portions of the exam.

Commercial payors usually just require "supervision" - that might be by telephone. As long as the resident documents by whom s/he was supervised, we code it.

F Tessa Bartels, CPC, CPC-E/M
 
Top