Angela Wilson-Liverman

Journal of Midwifery & Women's Health, Vol. 54, No. 4. (August 2009), pp. 282-286., doi:10.1016/j.jmwh.2009.03.008

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 midwives' 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.
Angela Wilson-Liverman, Joan Slager, Deborah Wage

Journal of Midwifery & Women's Health, Vol. 54, No. 4. (August 2009), pp. 282-286, doi:10.1016/j.jmwh.2009.03.008

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 midwives' 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.
Angela Wilson-Liverman, Joan Slager, Deborah Wage

Medicare and Medicaid News

Documentation and Billing for Services Provided by Midwives Teaching Obstetrics and Gynecology Residents and Medical Students

Documentation and Billing for Services Provided by Midwives Teaching Obstetrics and Gynecology Residents and Medical Students