Wiki Teaching Physicians

Thank you for the response. Do you know where I can find these guidelines?
Here's a link to a good publication from Medicare that outlines the teaching guidelines for residents:

Note, for example, under the billing requirements on page 5 that it states:

You must be identified as the teaching physician who involves residents in the care of your patients on claims. Claims must comply with requirements in the General Documentation Guidelines and E/M Documentation Guidelines sections. Claims must include the GC modifier, “This service has been performed in part by a resident under the direction of a teaching physician,” for each service, unless the service is furnished under the primary care exception. When the GC modifier is included on a claim, you or another appropriate billing provider are certifying that you complied with these requirements.

In order to bill for resident services, they must have been performed under the direction of a teaching physician. A CNM is not a physician and their 'sign off' on the record would not meet these requirements.
 
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