Wiki Auditing for teaching physicians

[SFling]

Hello all!

I am working on an audit for a physician who is part of a teaching physician program. I have never done this before and I've been reading the CMS guidelines and I just want to double check on this.. They are billing the office visits under the resident's name- that's correct right? I can't seem to find anything to confirm or deny and this is something completely new to me. Any info would be very much appreciated.

Thanks!

 

[SFling]

addition to post..

Hello,

I forgot to add that there is a GC modifier on the office visit that is billed under the resident. Thanks!

 

[cldavenport]

Hello,

Verify that the "teaching physician statement" is included in the documentation. The visit should be billed under the teaching physician's name. The GC modifier is correct. That signifies that a resident was involved in the visit. Definitely check and double check that you are following Medicare guidelines on teaching physicians.