Continued from part 1 of the article.

The Centers for Medicare & Medicaid Services (CMS) teaching physician requirements are very specific about reporting services provided by supervising or teaching physicians. Although these requirements have been established for Medicare services, most Medicaid programs and commercial payers have adopted them, as well. Under the Physicians at Teaching Hospitals requirements, a teaching physician may bill for resident services if the teaching physician personally participates in the care of the patient (ie, the teaching physician personally performs the required key components of the service, performs the key components jointly with a resident or fellow, or personally observes the resident performing the key or critical components). Medical record documentation must support that the teaching physician personally performed the service or was physically present (in the same room as the patient) during the key or critical portions of the service performed by the resident (selected key...

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