decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Teaching Physicians - Residents and Interns / Overview
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Article Overview
This article explains how Medicare payment works for teaching physicians in teaching hospitals and certain skilled nursing facilities with training programs. It focuses on the general billing arrangements, the circumstances in which payment may be made to the hospital instead of the individual physician, and the role of supervision in services provided by interns and residents. The content is useful for physicians, billing staff, compliance teams, and facility administrators who work with Medicare physician fee schedule rules in teaching settings.
Why This Topic Matters
Teaching settings often involve multiple billing arrangements and payment pathways, so understanding the general Medicare framework helps reduce billing errors and coordinate physician, hospital, and Part B claims processes.
What You Will Learn
- How Medicare payment may apply to teaching physicians in training settings
- When payment may be made to the hospital rather than the individual physician
- How intern and resident involvement fits into teaching physician billing arrangements
- Which kinds of facilities are discussed in relation to teaching programs
Who Should Read This
- Physicians
- Teaching hospitals
- Billing staff
- Coding professionals
- Compliance teams
- Hospital administrators
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