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"bill as" for MD resident

Jamie Posted Mon 20th of February, 2017 17:34:19 PM
We are a Physicians office, where an MD resident is working. How do we bill for a resident doing "BILL AS"? Does their have to be direct supervision for a resident, and if so can it be a PA?
SuperCoder Answered Tue 21st of February, 2017 01:42:55 AM

Greetings from!


Medical and surgical services furnished by interns and residents within the scope of their training program are covered as provider services but if the services furnished are not related to their training program and are performed outside the facility where they have their training program, are covered as physicians’ services and paid on a reasonable charge basis.


When the below mentioned criteria are met, the services are considered to have been furnished by the individuals in their capacity as physicians and not in their capacity as interns and residents:


1. The services are identifiable physicians’ services, the nature of which requires performance by a physician in person and which contributes to the diagnosis or treatment of the patient’s condition.

2. The intern or resident is fully licensed to practice medicine, osteopathy, dentistry or podiatry by the State in which the services are performed.

3. The services performed can be separately identified from those services that are required as part of the training program.


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