How Physician Services are Paid

Use the resources here to quickly educate new practitioners and staff about coding and reimbursement. You'll find explanations about code sets and compliance, about Medicare incident-to and shared services rules, and requirements for billing for services provided jointly between a resident and an attending.

Code sets and reimbursement

Medicare incident-to and shared services

Teaching physician rules

Teaching Physician Rules Coding guide
Teaching Physician Rules Quick Reference Guide
Teaching Physician Rules – Evaluation and Management Services
Teaching Physician Rules – Surgical procedures
Teaching Physician – Primary Care Exception
Teaching Physician Rules – Psychiatric Services
Teaching physician rules – Bedside procedures
Teaching Physician and Resident Specialty – Medicare Teaching Physician Rules
APRN and PA students and medical record documentation

Compliance issues

This practice paid Medicare $4.48 million
7 sure fire ways to owe the government $4 million in fines and repayments | Coding Compliance
Risky business, or tempest in a teapot: Are you an audit target?
2018 CERT Analysis
No Chart Left Behind: Deadline to Complete Medical Records
Billing physician services for hospice patients
Billing physician services for hospice patients cheat sheet
Wellness visits and care management in Rural Health Centers and Federally Qualified Health Centers (RHCs and FQHCs)
CMS update on medical record documentation for E/M services
Medical Record Documentation | Webinar
Medicare Rules for Incident-to Billing and Shared Services | Webinar

Medical record documentation