Wiki Teaching Physicians

[arivera2420@yahoo.com]

Good afternoon,

Can a CNM sign off on a teaching physician (Resident MD) medical records?

 

[thomas7331]

Good afternoon,

Can a CNM sign off on a teaching physician (Resident MD) medical records?

CNMs do not have the credentials or training to supervise MDs. They might 'sign off' on the record, but it doesn't mean anything and wouldn't qualify as the required attestation.

 

[arivera2420@yahoo.com]

CNMs do not have the credentials or training to supervise MDs. They might 'sign off' on the record, but it doesn't mean anything and wouldn't qualify as the required attestation.

Thank you for the response. Do you know where I can find these guidelines?

 

[thomas7331]

Thank you for the response. Do you know where I can find these guidelines?

Here's a link to a good publication from Medicare that outlines the teaching guidelines for residents:

https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnproducts/downloads/teaching-physicians-fact-sheet-icn006437.pdf

Note, for example, under the billing requirements on page 5 that it states:

You must be identified as the teaching physician who involves residents in the care of your patients on claims. Claims must comply with requirements in the General Documentation Guidelines and E/M Documentation Guidelines sections. Claims must include the GC modifier, “This service has been performed in part by a resident under the direction of a teaching physician,” for each service, unless the service is furnished under the primary care exception. When the GC modifier is included on a claim, you or another appropriate billing provider are certifying that you complied with these requirements.

In order to bill for resident services, they must have been performed under the direction of a teaching physician. A CNM is not a physician and their 'sign off' on the record would not meet these requirements.