In response to Joseph Conn's "Docs using scribes to ease EHR transition":
My question would be: Does the physician submit a charge for the professional fee for the service as if he/she performed the entire service if the scribe did the complete history and "wrap-up"? My understanding from what Medicare has to say is that the history, exam and medical decisionmaking are to be performed by the physician. I have also read and heard from consultants that a "scribe acts as a human recorder for the physician." If the scribe is doing more than that, to me, he/she is no longer acting as a scribe but also doing some of the physician's work.