• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

billing resident vs physician

staticsis2

Guest
Messages
81
Best answers
0
Can someone advise me when our physician see's patients at a teaching hospital after a resident do we bill under the physician with modifier gc?

If the resident see the patient themselves and the physician was not there do we bill under the resident?

Thank you in advance / part b provider
 

kathirckv

New
Messages
4
Best answers
0
Yes, we can bill with modifier GC when teaching physician seen after a resident or along with resident but the teaching provider need to attest the resident record.

We can't able to bill under resident if resident see the patient themselves.
 

skraft1969

Networker
Messages
31
Best answers
0
The Provider

You can't bill for the resident, but you can bill for the provider with GC modifier.. ONLY if the teaching physician is physically present during the critical or key portions of the service. CMS has a guide/fact sheet under the Medicare Learning Network called Guidelines for teaching physicians, interns, and resident. You might want to check it out, I think it will answer all your questions.
 

staticsis2

Guest
Messages
81
Best answers
0
resident billing questions

I understand that if my doc was present I bill under him using a GC modifier but.... what if the resident did the procedure and visit and physician wasn't present I cant bill anything correct?

Thanks,
 

pamela brashear

Contributor
Messages
13
Best answers
0
you should be able to bill with the GE modifier service performed by a resident without the presence of a teaching physician
 
Top