Wiki Billing for M.B B.S

[Jaslene08]

Hello,
".... I am being asked to bill for a provider who currently does not have any credentials but his "Bachelors in Medicine and Bachelors in Surgery" He is currently a resident. How do I bill for these services?

 

[Limbanidd2012@gmail.com]

You can use GC and GE modifier for resident billing.

 

[thomas7331]

A resident cannot practice independently - you can only bill for them within the context of an approved training program.

Here's a publication from Medicare that outlines the guidelines for billing for services performed by residents:
GUIDELINES FOR TEACHING PHYSICIANS, INTERNS, AND RESIDENTS

 

[SharonCollachi]

So he doesn't have a Doctorate of Medicine... an MD? or Doctorate of Osteopathic Medicine... DO? Or... doctorate of anything?? No Masters Degree? How is he a resident with none of these things?

 

[csperoni]

So he doesn't have a Doctorate of Medicine... an MD? or Doctorate of Osteopathic Medicine... DO? Or... doctorate of anything?? No Masters Degree? How is he a resident with none of these things?

The Bachelors in Medicine and Bachelors in Surgery is an MBBS degree, commonly used in India and I think UK. It is more than pre-med in the US. It is used for physicians who must first complete additional training (like a residency here). In those countries, an MD is an option, but not required to become a physician.
I don't see it very often. I believe many US residency programs will not accept MBBS candidates. But an MBBS can become a licensed physician in the US. We have a 1 year training program for advanced pelvic surgery (not an approved fellowship) and there was 1 physician over the years that was MBBS.

But to answer the original poster, as stated previously, a resident may not independently bill (with certain primary care exceptions in an approved program.) Typically, resident services are billed only if properly supervised/provided by the teaching physician, under the teaching physician with -GC. If you fall under the primary care exception, they are billed with -GE. The Medicare reference provided by Thomas tells you everything you need to know.

 

[Jaslene08]

A resident cannot practice independently - you can only bill for them within the context of an approved training program.

Here's a publication from Medicare that outlines the guidelines for billing for services performed by residents:
GUIDELINES FOR TEACHING PHYSICIANS, INTERNS, AND RESIDENTS

Thank you so much!

 

[Jaslene08]

A resident cannot practice independently - you can only bill for them within the context of an approved training program.

Here's a publication from Medicare that outlines the guidelines for billing for services performed by residents:
GUIDELINES FOR TEACHING PHYSICIANS, INTERNS, AND RESIDENTS

Thank you!

 

[Jaslene08]

The Bachelors in Medicine and Bachelors in Surgery is an MBBS degree, commonly used in India and I think UK. It is more than pre-med in the US. It is used for physicians who must first complete additional training (like a residency here). In those countries, an MD is an option, but not required to become a physician.
I don't see it very often. I believe many US residency programs will not accept MBBS candidates. But an MBBS can become a licensed physician in the US. We have a 1 year training program for advanced pelvic surgery (not an approved fellowship) and there was 1 physician over the years that was MBBS.

But to answer the original poster, as stated previously, a resident may not independently bill (with certain primary care exceptions in an approved program.) Typically, resident services are billed only if properly supervised/provided by the teaching physician, under the teaching physician with -GC. If you fall under the primary care exception, they are billed with -GE. The Medicare reference provided by Thomas tells you everything you need to know.

Thank you. As I assumed billing with a GE or GC Modifier under the attending physician