Hello everyone,
I have a physician who documents "patient seen and examined. Agree with plan." There is a signature. However, this is the extent of his note - nothing more. In most cases, the plan is written by a resident of that specialty. Is that enough documentation to support the teaching physician presence and/or link the residents note?
I have read CMS guidelines & I am still unsure.
Any insight would be appreciated.
Glynis
I have a physician who documents "patient seen and examined. Agree with plan." There is a signature. However, this is the extent of his note - nothing more. In most cases, the plan is written by a resident of that specialty. Is that enough documentation to support the teaching physician presence and/or link the residents note?
I have read CMS guidelines & I am still unsure.
Any insight would be appreciated.
Glynis