decisionhealth Newsletters, Answer Books - 2011 Issue 8 (August)
Modifiers / Teaching physician modifiers
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Article Overview
This article covers Medicare teaching physician modifiers, focusing on the circumstances described for resident involvement and primary care exception billing. It is useful for coders, billing staff, and compliance teams who work with physician services and need a high-level understanding of the guidance, applicable code groups, and related effective dates referenced in the article.
Why This Topic Matters
Teaching physician modifier guidance affects claim reporting and documentation for physician services. Understanding the article helps readers identify the relevant modifier-related topic area and the code groups discussed without relying on the full premium content.
Article Sections
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Modifier GC
This section addresses one of the teaching physician modifiers and its use in relation to Medicare teaching physician requirements. It also identifies the broad groups of services and office, consultation, and emergency visit code ranges discussed in connection with that modifier.
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Modifier GE
This section addresses the other teaching physician modifier and its use in the context of a primary care exception. It also references the general service categories and effective dates associated with the code groups discussed.
What You Will Learn
- The general purpose of teaching physician modifiers in Medicare-related billing.
- Which broad categories of services are discussed in connection with each modifier.
- Which code groups and effective dates are referenced in the article.
- The compliance-related importance of accurate modifier reporting.
Who Should Read This
- Medical coders
- Billing staff
- Compliance teams
- Physician practice administrators
- Teaching physician documentation staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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