tci Part B Insider - 2008 Issue 21

Part B Coding Coach: Take the Guesswork Out of Coding for Teaching Physicians

Here's which modifier to use for the primary-care exceptionYou can ensure that your physician gets paid for E/M services and minor surgical procedures performed in a teaching setting--if you know the documentation and supervision requirements for Medicare's teaching-physician rules.When your physician works as a teaching physician (TP) and supervises a resident's services in a clinic or hospital setting, you will have to report your physician's work using the teaching-physician rules, according to the Medicare Carriers Manual (MCM), section 15016.The MCM defines a resident as an intern or fellow who's enrolled in an accredited graduate medical education (GME)...

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