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Teaching Physician Rules
Definition:
The teaching physician (TP) rules describe a payment method by which Medicare pays an attending physician or teaching physician for services performed jointly with an intern, resident, or fellow, in an approved graduate medical education program (GME). The teaching physician’s presence and participation is required.
Medical students are never considered residents and are not covered under the teaching physician rules.
Teaching physician services are billed using the
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Anesthesia Billing for CRNAs
A timely topic if ever there was one! This issue continues to be a source of confusion to physician offices, billers, hospitals, and insurance companies, too. A Certified Registered Nurse Anesthetist (CRNA) is an advanced practice nurse who is an anesthesia specialist and may administer anesthesia independently or under physician “medical direction” or “supervision.” CRNAs have been practicing in the United States since the civil war, and were the first nur
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Pre-op visits: True or False?
Are the following statements true or false?
• The PCP cannot be paid to do a pre-op assessment of a Medicare patient prior to surgery because of the new consult rules.
• The surgeon can never be paid to do a pre-op visit if s/he is going to take the patient to surgery.
• The surgeon can bill and be paid for an office visit for the purposes of a pre-op H&P after the decision for surgery is made, but before the surgery itself, if the hospital requires it.
All of these statem
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