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Documentation and Billing for Services Provided by Midwives Teaching Obstetrics and Gynecology Residents and Medical Students
Author(s) -
WilsonLiverman Angela,
Slager Joan,
Wage Deborah
Publication year - 2009
Publication title -
journal of midwifery and women's health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.543
H-Index - 62
eISSN - 1542-2011
pISSN - 1526-9523
DOI - 10.1016/j.jmwh.2009.03.008
Subject(s) - documentation , certification , obstetrics and gynaecology , medicine , medical education , service (business) , nursing , medicaid , nurse midwives , family medicine , health care , management , pregnancy , political science , business , marketing , biology , computer science , law , economics , genetics , programming language
Certified nurse‐midwives are teaching obstetrics and gynecology residents and medical students in major academic institutions across the United States. In these instances, the ability to appropriately document services rendered to support a billable service is paramount. This article explains the difference in requirements for mid‐wives' documentation when working with residents compared with documentation required of an attending obstetrician‐gynecologist. It also reviews the teaching physician guidelines developed by the Centers for Medicare and Medicaid Services (CMS) as well as current evaluation and management documentation requirements. Several examples of documentation are provided, as are suggestions for enhancement and simplification of the guidelines to include midwives. An important point to remember is that the CMS rules do not prohibit a certified nurse‐midwife from teaching a resident.