If that's all he's writing then you've got a bigger problem than whose diagnoses to use.
The Teaching Physician note has to reflect that the TP performed or was present during the resident's performance of the key portions of the service. This is done via the TP note containing an explicit statement of TP presence face-to-face with the patient. Medicare gave many examples of sufficient TP notes, and they all began with "I saw the patient..." or "Patient seen with the resident..." or the like.
Based on the note you quoted, there is no indication that the TP made any face-to-face contact with the patient. They could have (and possibly did) only discuss the patient with the resident without setting foot in the room themselves.
Seth Canterbury, CPC, ACS-EM
University of Florida Jacksonville Physicians, Inc.
Clinical Data Quality-Education Department
653 West Eight Street
Tower I, Suite 606
Jacksonville, FL 32209
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