tci ED Coding & Reimbursement Alert - 1999 Issue 12

Special Documentation Required When Physicians Supervise Residents in Teaching Setting

In teaching hospitals (hospitals with graduate medical residency programs), emergency department (ED) physicians often supervise medical residents, providing guidance adnd oversight as the physicians-in-training treat patients.Because the teaching physician physically may not perform all of the services provided during the patient visit but is legally responsible for the care provided by the residents he or she supervises, the Health Care Financing Administration (HCFA) has special rules governing how teaching physicians and residents report procedures and services.Physician Must Be Present DuringKey Portion of Service HCFAs carrier instructions concerning how to reimburse teaching physician and resident medical services state...

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