Results 1 to 3 of 3

Billing for Resident H&P

  1. #1
    Question Billing for Resident H&P
    Medical Coding Books

    I have been billing for a short time for our resident program. We are starting to have an issue with our supervising physicians not signing the resident's H&P for the Attending Supplement. My supervisor says without that signature, we are unable to bill for that H&P. Our billing office is looking at the first progress note from later on in the same day and counting that as an H&P if the overseeing doc signed that. What is the accurate way to do this? Are we able to bill the H&P this way, or only the subsequent visit later that day? Thanks!!

  2. #2
    Milwaukee WI
    Default Initial Hospital Visit
    There is NO CPT code for "H&P" ... look it up.

    There IS are CPT codes for Initial Hospital Visit .. i.e. the first time the provider sees the patient in the hospital. So if you are coding the Initial Hospital Visit based on the teaching physician's handwritten note, then you are doing that correctly.

    HOWEVER .... you CANNOT use any part of the resident's note unless the teaching physician has also signed that note ... or at least referred to the ROS & PFSH from that resident's note in his/her handwritten note.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    We have residents in the office. How much documentation may the resident record in the EHR? PFSH and ROS for sure. HPI and exam, too? May they document the whole note with the supervising doc's appropriate comment?

Similar Threads

  1. billing resident vs physician
    By staticsis2 in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 02-20-2015, 12:49 PM
  2. Resident Billing
    By paula8616 in forum Orthopaedics
    Replies: 0
    Last Post: 04-08-2014, 01:38 PM
  3. Replies: 0
    Last Post: 06-06-2012, 11:14 AM
  4. modifier for E&M w/SNF resident?
    By Karen A. in forum Medicare Regulations
    Replies: 1
    Last Post: 05-07-2012, 07:25 AM
  5. Billing for a resident
    By armymomryan in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 08-21-2010, 05:31 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.