decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Teaching Physicians - Residents and Interns / 2 Ways Part B Pays Residents and Interns
Subscribe or sign in to view the full article.
Article Overview
This article reviews Medicare guidance on how Part B may pay for resident and intern services under the physician fee schedule. It is aimed at coders, billing staff, and compliance teams who need a high-level understanding of the circumstances described in the Medicare Claims Manual (MCM) and related teaching-physician context. The article focuses on the two general situations covered by the guidance and the criteria used to distinguish them.
Why This Topic Matters
Correctly identifying when resident and intern services are payable under Part B affects claim handling, compliance, and reimbursement in teaching settings. The topic is especially relevant for organizations that bill Medicare for services furnished in connection with graduate medical education.
What You Will Learn
- The general circumstances under which resident and intern services may fall under the physician fee schedule
- How the article distinguishes between the two broad payment situations discussed in Medicare guidance
- The role of off-campus service location, training-cost coverage, and moonlighting context in the article's overview of Part B payment coverage
- How the article frames the Medicare Claims Manual guidance related to teaching physicians, residents, and interns
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Compliance auditors
- Physician practice managers
- Teaching hospital coding teams
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com