Primary Care Exception Rule: Just the Facts - Healthicity

E-BRIEF SERIES. Primary care Exception Rule: just the Facts Lara Smith CPC, CMEC | REGIONAL AUDIT DIRECTOR. E-BRIEF SERIES. Primary care Exception Attestation Checklist Understanding Primary care In the Primary care setting, it's possible to report low to mid-range E/M services Exception performed by a resident without direct The CMS defines Primary care Exception : teaching physician supervision. However, this doesn't mean that the teaching physician is uninvolved. Since the service is reported An Exception within an under the teaching physician's name, he/. approved GME Program that she still has to ensure the services rendered are appropriate and medically necessary. applies to limited situations However, when done correctly, this Exception where the resident is the to the teaching rule could translate to Primary caregiver and the more patients treated than in a typical faculty physician sees the residency program and also a better learning experience for those residents.

f ¢bsjfg tfsjft Primary Care Exception Attestation Checklist: The services were furnished in a primary care center located in the outpatient department of a hospital

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