Results 1 to 3 of 3


  1. #1
    Default Residents
    Medical Coding Books
    I work for a hospitalist group and this came up and I don't quite know the answer:

    Is there a statement used for when a resident writes up an H&P and signs off on it -- how can it be billed under the supervising physician?

  2. #2

    The teaching physician has to be involved, see the patient as well, and document in order to bill.

    My providers don't utilize residents often or appropriately so we don't bill for those services. Hopefully the above link will be helpful.

    Laura, CPC, CEMC

  3. #3
    Milwaukee WI
    Default Teaching hospital
    The teaching physician must include an attestation of his/her participation in the case.

    A sample statement is usually something along lines of:
    Patient seen & examined with resident. I participated in the history, exam and medical decision making with resident, and agree with his documentation. The note is then signed and dated by the attending.

    Our dictation system does NOT allow residents to sign notes (although they will be listed as the dictating physician). Attendings are responsible to include the attestation statement before signing the note.

    NOTE: if the patient has commercial insurance and the resident has indicated that he discussed the case with the attending we will bill for the attending's service. Most comercial insurance carriers do NOT require actual face-to-face attendance by the teaching physician. Our biggest problem in these cases is that residents frequently use the notation "Discussed with staff." Well, there are hundreds of doctors on staff ... which one? Of course this doesn't affect the residents at all, so it's difficult to convince them of the need for this (until they finish and find themselves as supervising physicians with residents under them...)

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Credentialing Residents
    By Danielle in forum General Discussion
    Replies: 1
    Last Post: 02-09-2016, 10:44 AM
  2. Medical Residents - Please help!!
    By abeckett in forum Billing/Reimbursement
    Replies: 3
    Last Post: 06-05-2015, 08:17 PM
  3. ? re: billing for residents
    By pamelat in forum Family Practice
    Replies: 0
    Last Post: 07-03-2014, 09:15 PM
  4. Physician's and residents
    By cpccoder2008 in forum Medicare Regulations
    Replies: 14
    Last Post: 03-03-2010, 02:21 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.