Cheezum51
True Blue
I know that since 2018 CMS has allowed medical students to document findings in an exam as they examine a patient, as long as they're supervised by a resident or attending physician, Therefore, what they document would be used to determine the E/M codes billed for the examine.
Here's my question: Some exams, such as for a TBI patient, usually take a long time, even when performed by a licensed physician, and could be billed based upon time when they exceed the level 5 codes times. If a student performs the majority of the exam, can the time they use to do that be used to code the time, since they usually work more slowly than an experienced doctor? If their time can be used, would you be comfortable billing for the entire time or would you reduce that by some factor?
Here's my question: Some exams, such as for a TBI patient, usually take a long time, even when performed by a licensed physician, and could be billed based upon time when they exceed the level 5 codes times. If a student performs the majority of the exam, can the time they use to do that be used to code the time, since they usually work more slowly than an experienced doctor? If their time can be used, would you be comfortable billing for the entire time or would you reduce that by some factor?