tci ED Coding & Reimbursement Alert - 2014 Issue 10

Reader Question: Can I Bill For a Moonlighting Resident's Services?

Question: I have residents who moonlight for us in the emergency department. I also have APRN’s. Can the residents sign off on the APRNs charts? Kentucky Subscriber Answer: In general, CMS’ rules state that residents can’t supervise Advanced Practice Providers, but that would vary state to state and by hospital by-laws.  Theoretically, if a resident has a full medical license and is moonlighting as a fully credentialed and licensed physician and the hospital allows them to do so, then yes, a moonlighting resident could supervise an APP.  The American College of Emergency Physicians, (ACEP) has...

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