The October 2011 AAP Pediatric Coding Newsletter™ addressed teaching physician guidelines under the primary care exception rule (PCER) of the Medicare teaching physician rules. Since that article ("A Refresher Course: Teaching Physician Guidelines for Supervising Residents in the Office or Clinic") was published, the Centers for Medicare & Medicaid Services (CMS) has provided clarification on how the PCER applies to supervision of a resident with less than 6 months in an approved graduate medical education (GME) residency program.

Please make note of the following changes as published in CMS Transmittal 2303, Change Request 7378 (; the Medicare Claims Processing Manual, sections 100.1 and 100.1.1 (C) (; and the CMS Physicians Regulatory Issues Team Web site (

“Teaching physicians submitting claims under this exception may not supervise more than four residents at any given time and must direct the care from such proximity as...

You do not currently have access to this content.