Ob-Gyn Coding Alert

Here's which modifier to use for the primary-care exception.You can ensure that your ob-gyn gets paid for E/M services and minor surgical procedures performed in a teaching setting, as long as you know the requirements for Medicare's teaching physician rules.When your ob-gyn works as a "teaching physician" (TP) and supervises a resident's services in a clinic or hospital setting, you will have to report your physician's work using the TP rules, according to the Medicare Carriers Manual (MCM), section 15016.The MCM defines a resident as an intern or fellow who's enrolled in an accredited graduate medical education (GME) program. Experts offer four field-tested strategies for reporting E/M services and minor surgical procedures using the teaching physician rules.Report Outpatient Services Based on 'Key Portions'Suppose the TP provides an E/M service such as an office visit (99201-99215) without the resident present. The TP may be able to use some of the resident's [...]