decisionhealth Newsletters, Part B News - 2021 Issue 7 (July)
Limits proposed for teaching physician billing
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Article Overview
This article explains proposed 2022 Medicare physician fee schedule revisions that would affect teaching physician and resident billing for office and outpatient evaluation and management services. It is aimed at coders, compliance staff, and medical practices that bill Medicare and need to understand how the proposal relates to time-based reporting, medical decision-making, and the primary care exception. The article also references related Medicare manual guidance and the end of the COVID-19 public health emergency as it pertains to these policies.
Why This Topic Matters
Teaching physician billing rules can affect compliance, documentation, and code selection for Medicare services. Understanding the proposed changes helps practices assess whether their current workflow aligns with Medicare policy and anticipate changes tied to resident participation and the primary care exception.
Article Sections
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Billing
Overview of the proposed Medicare physician fee schedule revisions affecting teaching physician billing for office and outpatient evaluation and management services. The section introduces the main policy areas addressed in the article.
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The ‘primary care exception’
Discussion of proposed changes tied to resident billing under the primary care exception and related Medicare considerations. The section also notes how the exception is expected to be affected by the end of the public health emergency.
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Resource
Reference to supporting Medicare manual material cited in the article.
What You Will Learn
- How proposed Medicare changes may affect teaching physician billing
- Which general areas of office and outpatient evaluation and management reporting are being revised
- How the article frames the role of resident participation in billing policy
- What the article says about the primary care exception and Medicare guidance sources
Who Should Read This
- Medical coders
- Compliance professionals
- Teaching physicians
- Resident physicians
- Medical practice administrators
Codes Discussed
Code Ranges Discussed
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