tci Medicare Compliance & Reimbursement - 2008 Issue 23

Coding Coach: Take Guesswork Out Of Coding For Teaching Physicians

Here's which modifier to use for the primary-care exception You can ensure that your physician gets paid for E/M services and minor surgical procedures performed in a teaching setting -- if you know the documentation and supervision requirements for Medicare's teaching-physician rules. When your physician works as a teaching physician (TP) and supervises a resident's services in a clinic or hospital setting, you will have to report your physician's work using the teaching-physician rules, according to the Medicare Carriers Manual (MCM), section 15016. The MCM defines a resident as an intern or fellow who's enrolled in an accredited graduate...

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