Medicare Teaching Physician Documentation-The Nuts and Bolts

Event Information
Product Format
Prerecorded Event
Conference Date
Thu, Jan 22, 2015
90 minutes
Product Description

Learn Key Definitions Relevant to Teaching Physician Presence, Participation, and Documentation

The Medicare teaching physician documentation guidelines have been around for a very long time. Even the brunt of the Physicians at Teaching Hospitals (PATH) audits were performed way back in the 1990s. With ongoing Comprehensive Error Rate Testing (CERT) contractor and Recovery Audit Contractor (RAC) audits, and even local efforts at the Medicare Administrative Contractor (MAC) level, teaching physician documentation is still being scrutinized. This webinar is designed to be an introduction to the teaching physician documentation rules.

During this 90-minute webinar, expert Maryann C. Palmeter, CPC, CENTC will help you learn several key definitions applicable to teaching physician settings: what needs to be documented for Evaluation and Management services to be billed; what the primary care exception means; the difference between minor and major procedures for teaching physician billing purposes; and the presence and participation requirements for various surgical procedures. She will also touch upon requirements for radiological procedures and time-based services including critical care, psychiatric services, and maternity cases.

Maryann will share some best practices and auditing insights gained through over 15 years of directing compliance operations at a large academic practice plan and will include some examples of teaching physician documentation that does not make the grade.

The following point will be covered in this webinar:

  • Key definitions relevant to teaching physician presence, participation, and documentation
  • Documentation requirements for Evaluation and Management Services
    • Including time-based services, critical care and services performed in a primary care exception center
  • Surgical procedures
    • Understand requirements for minor and major surgeries as well as single, overlapping, and endoscopic procedures
  • Miscellaneous services
    • Learn the requirements for maternity care, psychiatric services, and radiological services
  • Understand the difference between residents and fellows in approved and non-approved programs
  • Understand when a moonlighting resident’s services may be billed to Medicare Part B
  • Data mining tips – how to audit to ensure your teaching physicians are truly “immediately available”
  • Application of macros and templates by the teaching physician and/or resident

Who should attend

Practice managers


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About Our Speaker

Maryann C. Palmeter - Medical Coding Billing Expert

Maryann C. Palmeter, CPC, CENTC is employed with the University of Florida Jacksonville Healthcare, Inc. as the director of physician billing compliance, and is responsible for providing professional direction and oversight to the billing compliance program of the University of Florida, College of Medicine - Jacksonville. She has over 30 years of extensive health care experience in both government contracting and physician billing and has been involved in...   More Info
More Events By The Speaker

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