Results 1 to 4 of 4

Fellow doctor's

  1. #1
    Default Fellow doctor's
    Medical Coding Books
    When billing for a fellow with a resident would you use the same guidelines as a physician and resident ?

  2. #2
    Milwaukee WI
    Default Where's the faculty?
    For Medicare and Medicaid: Fellows are NOT billable; they are considered the same as residents. Documentation must shows the physical presence and involvement of the teaching physician in order to bill under the teaching physician's name.

    If it is a commercial claim ... SOME commercial carriers do not require the physical presence of the teaching physician and allow the claim to be billed under the teaching physician name as long as the TP was available in the general area or even by phone or any other reasonable means of communication.

    Check your carrier contracts.

    F Tessa Bartels, CPC, CEMC

  3. #3
    The fellow's bill under their own name and number.

  4. Default
    If you're billing under the fellow's name and number, I'm assuming your facility is not receiving GME payments for them? In other words, these fellows have come to you because they want/need the experience and are hired on as an associate so to speak. They are not part of the GME program so Medicare does not send your facility any money for their services. This needs to be true in order for you to bill for your fellows directly. Otherwise, its as Tessa said, fellows are considered the same as residents.

    If they are associates, I'm not sure about the billing guidelines with residents - I happen to be looking into this myself. I'm assuming an associate fellow cannot link to a resident note because they are not considered to be the teaching physician (your attendings would be). If anyone knows the answer to that, I would like to know. My gut says no but I'm not 100% sure.

    Lisi, CPC

Similar Threads

  1. Billing a non-par Doctor/ participating Doctor
    By yolandasimmons in forum Billing/Reimbursement
    Replies: 1
    Last Post: 08-12-2014, 08:06 AM
  2. billing with a fellow
    By MARCYL in forum Medicare Regulations
    Replies: 2
    Last Post: 03-18-2014, 09:53 AM
  3. Replies: 2
    Last Post: 01-27-2009, 09:14 AM
  4. Fellow vs Resident
    By codom in forum Medicare Regulations
    Replies: 4
    Last Post: 11-12-2008, 12:42 PM

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.