This resource was updated September 2018
Teaching Physician Guidelines Overview
The teaching physician guidelines are Medicare rules that allow for payment for services that are performed jointly between a resident and a licensed attending physician (the teaching physician). In this article, CodingIntel provides an explanation of teaching physician rules, CPT surgical codes, resident billing modifiers and much more.
The level of participation and required documentation differ based on the type of service that is performed. But whatever the medical service, there must be documentation of the attending’s participation in the care of the patient. This is an area of high compliance risk and academic practices need to educate and re-educate with every new group of residents and recently hired attending physician.
CPT Surgical Codes, Resident Billing Modifiers and More
The Medicare manual has specific definitions related to teaching physician guidelines which explain CPT surgical codes, resident billing modifiers and much more, there are two CMS citations at the end of this guide for readers who want to learn more.
Table of Contents
- 2018 Rule change
- E/M services
- Critical care
- Primary care exception
- Psychiatry services
- Surgical services
- Required documentation reference
Review the complete Medicare Guidelines
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