Medicare requires that the teaching physician be physically present for the entirety.
Medicaid (in my state) allows the "presence" to be in the immediate vicinity, as long as the teaching physician documents his/her participation and presence for the key portions of the exam.
Commercial payors usually just require "supervision" - that might be by telephone. As long as the resident documents by whom s/he was supervised, we code it.
F Tessa Bartels, CPC, CPC-E/M
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