tci ED Coding & Reimbursement Alert - 2005 Issue 7

Reader Questions: Secure Documentation for TP Billing

Question: When technicians in the ED perform suturing and the ED physician then checks and approves them, can we bill Medicare for it? What if a resident does the repair, and the ED doctor supervises?Illinois Subscriber Answer: For the technicians, the Medicare answer is no. Most of the time, the hospital employs the technicians, which means the facility receives reimbursement from Medicare under Part A - so CMS would not allow you to bill for this procedure. For the resident, you may bill Medicare for the procedure if you have acceptable documentation that the teaching physician (TP) supervised...

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