decisionhealth Newsletters, Answer Books - 2008 Issue 7 (July)
Answer_Book / Teaching_Physicians_Residents_And_Interns / Moonlighting
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Article Overview
This premium article covers Medicare guidance for teaching physicians, residents, and interns on when services may be billed directly under Part B. It focuses on the broad requirements that differ by location and service context, and is intended for coders, billing staff, compliance teams, and providers working with resident and intern services.
Why This Topic Matters
Correctly understanding these rules helps billing and compliance teams determine when resident or intern services may be handled separately from training-related services and when location-specific requirements apply.
Article Sections
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Moonlighting
Overview of Medicare Part B payment concepts for resident and intern services that are not part of their training program. The section introduces location-based requirements and a comparison of service settings.
What You Will Learn
- How Medicare Part B guidance applies to resident and intern services outside training
- Why the service location affects the requirements that must be met
- What general types of conditions are considered when evaluating these services
- How this topic fits within teaching physician, resident, and intern billing guidance
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physicians
- Hospital revenue cycle teams
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