Teaching physician guidelines
If you are talking about a patient covered by Medicare, Medicaid or other government payer, then a simply signature is NOT sufficient to allow for billing under the teaching/attending physician.
The teaching physician must attest to his/her actual presence at the bedside and participation in the history, exam and medical decision making. The TP should also note any differences in his/her observations from those recorded by the resident. The TP should then indicate agreement with the resident's documentation and sign/date.
Hope that helps.
F Tessa Bartels, CPC, CEMC