tci ED Coding & Reimbursement Alert - 2017 Issue 2

Reader Question: Can A Moonlighting Resident Working in the ED Bill Independently?

Question: I have residents who moonlight for us in the emergency department. Do they fall under the regular teaching physician rules or can they bill independently? Kansas Subscriber Answer: CMS rules allow a resident to moonlight at an ED site that is not a part of their training program. As long as the resident is properly licensed, credentialed, and carries the appropriate malpractice insurance coverage, the site may bill for their services. CMS requires the physician rendering the service to be identified on the claim, whether the rendering physician receives the payment directly or assigns the right to payment...

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