Forum - Questions & Answers

Nov 23rd, 2009 - carole0403

attending physician charges in outpatient clinics

Can an attending physician supervise a fellow/resident in an outpatient setting, bill under the attending NPI for their combined services and see his/her own patients and bill for them as well? Where does it refer to this in the CMS regs?

Thanks!

Nov 23rd, 2009 -

I can be in two places at once!

If a resident (or fellow) participates in a service furnished in a teaching setting, a Part B payment will be allowed only if the teaching physician is present to perform or observe the resident perform, the "key" portion of any service or procedure for which payment is sought. Each individual physician may determine the "key" portion of any service or procedure furnished. The "key" portion for a visit or consultation service is defined in CPT as including the activities of history, physical exam and medical decision-making. The "key" portion for a surgical or diagnostic procedure is self-defined by the physician.

From: http://www.aamc.org/advocacy/library/teachphys/phys0004.htm



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