Revised Payment Methodology For Anaesthesiology Claims Modifier GC

Revised Payment Methodology For Anaesthesiology Claims Modifier GC

Teaching anesthesiologists rendering services in a Method II CAH (also referred to as CAHs that have elected the optional method) have the option of reassigning their billing rights to the CAH. When billing rights are reassigned, the Method II CAH submits an 85x bill type with revenue code 0963 (professional fees for Anesthesiologist (MD)) for…

General Documentation Guidelines for Teaching Physicians and Residents

General Documentation Guidelines for Teaching Physicians and Residents

Both residents and teaching physicians may document physician services in the patient’s medical record. The documentation must be dated and contain a legible signature or identity and may be: • Dictated and transcribed;• Typed;• Hand-written; or• Computer-generated. A macro is a command in a computer or dictation application in an electronic medical record that automatically…

Exception For E/M Services Furnished in Certain Primary Care Centers

Exception For E/M Services Furnished in Certain Primary Care Centers

Medicare may grant a primary care exception within an approved GME Program in which you, the teaching physician, are paid for certain E/M services the resident performs when you are not present. The lower and mid-level E/M services included under the primary care exception are given below. New Patient CPT 99201    Office or other outpatient…

Evaluation and Management Documentation Guidelines for Teaching Physicians

Evaluation and Management Documentation Guidelines for Teaching Physicians

For a given encounter, the selection of the appropriate level of E/M services is determined according to the code of definitions in CPT books and any applicable documentation guidelines. CPT books are available from the American Medical Association. When a Teaching Physician bills for E/M services, he or she must personally document at least the…

Billing Requirements For Surgeries & Applicable Modifiers

Billing Requirements For Surgeries & Applicable Modifiers

The teaching surgeon is responsible for the preoperative, operative, and postoperative care of the beneficiary. The teaching physician’s presence is not required during the opening and closing of the surgical field unless these activities are considered to be critical or key portions of the procedure. The teaching surgeon determines which postoperative visits are considered key…