Teaching Physician is a comprehensive web-based resource that connects medical schools and residency programs to community preceptors. It delivers videos, tips, answers to frequently asked questions, and links to in-depth information on precepting topics. Learn more
Focus of the Month: Billing Issues and EHRs in Teaching Settings
In order to bill for services provided by or in the presence of learners, it’s important to understand the requirements of your payers. Centers for Medicare and Medicaid Services (CMS) requires that any contribution and participation of a student to the performance of a billable service be performed in the physical presence of a teaching physician or resident. Exceptions to this are review of systems and/or social history, which are taken as part of an E/M service and are not separately billable. Services furnished by residents within the scope of their training program are covered as provider services.
Keep in mind that students can document services in the medical record; however, for Medicare/Medicaid patients, you can only refer to the student’s documentation of an E/M service that is related to the review of systems or social history.
Make sure you understand the rules. Visit TeachingPhysician.org today to learn more about:
- Billing Issues
- Student Use of Electronic Health Records
- Documentation Guidelines
- EHR Communication Skills
- The 4 Get Model
This enduring material activity, Teaching Physician, has been reviewed and is acceptable for up to 37.50 Prescribed credits by the American Academy of Family Physicians. AAFP certification begins January 16, 2014. Term of approval is for two years from this date with the option of yearly renewal. Physicians should claim only the credit commensurate with the extent of their participation in the activity.