tci ED Coding & Reimbursement Alert - 2014 Issue 6

Reader Question: Teaching Physician's Presence Required For Resident's E/M

Question: A physician in our ED recently started supervising a resident’s services. How can I best report evaluation and management services provided by a teaching physician? Tennessee Subscriber Answer: Your ED physician can get paid for E/M services and minor surgeries he performs in a teaching setting, as long as you send in the proper documentation along with the claim. When reporting your physician’s work in a teaching setting, file documentation according to the rules laid out in Section 15016 of the Medicare Carriers Manual. If the resident performs an E/M service, the teaching physician has to...

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