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Posted By Mary Peabody on 06-05-2020, 18:21:13 in Ob-Gyn
Hello Melanie,
If the resident reads and documents the findings of a NST (59025), can the teaching physician attest that he/she reviewed the non-stress test and agree with the findings and interpretation or is it required for the teaching physician to personally read the non-stress test and document the findings to include the start and stop time on the monitor? If the start and stop time is not included in the note is it okay if the stress test is in the record that shows the start and stop time?

If the resident performs an ultrasound and documents the interpretation, is it necessary for the teaching physician to repeat and document the ultrasound findings or is it okay for the teaching physician to attest that he/she reviewed the images and agree with the interpretation?
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Posted By Melanie Witt on 06-12-2020, 14:40:47
Here is the CMS rule for teaching physicians with regard to diagnostic tests: Medicare pays for the interpretation of diagnostic radiology and other diagnostic tests if the interpretation is performed by or reviewed with a teaching physician. If the teaching
physician’s signature is the only signature on the interpretation, Medicare assumes that he/she is indicating that he/she personally performed the interpretation. If a resident prepares and signs the interpretation, the teaching physician must indicate that he/she has personally reviewed the image and the resident’s interpretation and either agrees with it or edits the findings. Medicare does not pay for an interpretation if the teaching physician only countersigns the resident’s interpretation.
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