Results 1 to 2 of 2

Resident in the ER

  1. Default Resident in the ER
    Medical Coding Books
    Please clarify--
    The resident in the ER reduces a fracture after consulting BY PHONE with the ortho surgeon on call.
    The surgeon does not see the patient. Private insurance (not MCR).
    The surgeon cannot bill anything-- correct?
    The patient's follow up visit to the office- new patient? Post operative care only?

  2. #2
    Milwaukee WI
    Default Commercial payers
    Most commercial payers only require that the supervising physician be available by any modern means of communication. So, yes if the resident has conferred with the teaching physician via phone about the case and documents that s/he has spoken to the TP and that the TP concurs with the diagnosis, and plan of care, then you can bill the resident's services under the TP name.

    Again... this may vary with payer.

    If you wind up billing out fracture care for the resident's services, then any clinic follow-up will be considered part of the global package.

    If you do NOT bill out the resident's care, then the first visit in the clinic will be a new patient.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Resident dictation
    By carolt in forum E/M
    Replies: 5
    Last Post: 08-08-2012, 02:37 AM
  2. Resident modifiers
    By Stacief79 in forum Modifiers
    Replies: 3
    Last Post: 05-01-2012, 09:40 AM
  3. resident as second assist
    By kathydaniel in forum General Surgery
    Replies: 3
    Last Post: 12-14-2010, 04:11 PM
  4. Doctor with Resident
    By randiroyder in forum E/M
    Replies: 4
    Last Post: 01-15-2009, 07:31 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.