Results 1 to 5 of 5

billing resident vs physician

  1. Default billing resident vs physician
    Medical Coding Books
    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

  2. Default
    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.

  3. #3
    Default 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.

  4. Default 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?


  5. Default
    you should be able to bill with the GE modifier service performed by a resident without the presence of a teaching physician
    Pamela Brashear, CPC

Similar Threads

  1. Resident / Teaching Physician ratio?
    By Cathy.R in forum Medicare Regulations
    Replies: 0
    Last Post: 01-07-2015, 12:22 PM
  2. Resident vs. Physician
    By kfrycpc in forum Medical Coding General Discussion
    Replies: 6
    Last Post: 06-21-2014, 10:37 AM
  3. Resident vs. Physician
    By kfrycpc in forum E/M
    Replies: 1
    Last Post: 06-20-2014, 12:44 PM
  4. Replies: 2
    Last Post: 01-05-2012, 09:22 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.