Medicare guidelines for teaching physicians
[DOC File]Policies and Procedures
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I. PURPOSE. This policy addresses teaching physician supervision and documentation requirements for certain evaluation and management (E/M) services provided by residents in qualified primary care centers as defined under the Medicare teaching physician regulations.
[DOC File]MEDICARE CHARTING GUIDELINES - HealthInsight
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Guidelines: Chart Q Day. Use this guideline to focus your charting. Guideline to be completed by Medicare Nurse, Unit Manager, or other Nursing Supervisor. REASON FOR SKILLING ON MEDICARE: ( Physical Therapy ( Occupational Therapy ( Speech Therapy ( Respiratory Therapy ( Unstable IDDM ( Injections (IM only) ( New G-Tube Feeding
[DOCX File]Saint Louis University : SLU
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Then in order to prevent a disproportionate number of teaching hospitals from being adversely affected by Medicare limits on reimbursement of routine hospital operating costs, the Department of Health and Human Services (HHS) in 1980 modified the limits to include a resident to bed adjustment for the indirect costs of graduate medical education.
[DOC File]DOCUMENTATION GUIDE
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Precepting physicians may NOT refer to a medical student’s documentation of history of present illness, physical exam findings or medical decision making to support billing documentation. 20438 (Rev. 9/09) University of Rochester ( 2001. SIDE 2. PRECEPTING MEDICAL STUDENTS – MEDICARE DOCUMENTATION GUIDELINES
[DOCX File]Compliance with Medicare and Medicaid Fraud and Abuse Laws
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Avoiding Medicare Fraud and Abuse. Additionally, the . U.S. Department of Health and Human Services/Office of the Inspector General (OIG) provides educational materials “…to assist in teaching physicians about the Federal laws designed to protect the Medicare and Medicaid programs and program beneficiaries from fraud, waste, and abuse.”
[DOCX File]Office of Billing Compliance - March 2016
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Incident to billing enables certain categories of non-physician health care providers to bill through a supervising physician. Medicare permits this type of billing for the following non-physician practitioners: Clinical Psychologists, Physician Assistants, Nurse Practitioners, Clinical Nurse Specialists, Nurse Midwives, and Certified Registered Nurse Anesthetists.
[DOC File]Occupational, Physical, Speech Therapy Services Section II
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214.200 Guidelines for Review of Occupational, Physical, and Speech-Language Therapy Services 1-1-21 Prior authorization of extension of benefits is required when a physician prescribes more than 90 minutes of therapy per week in one or more therapy discipline(s).
[DOC File]POLICY 101A - Berkshire Health Systems
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oversight by the subspecialist consultant. The consultant should document key aspects of the history, physical, evaluation, and management as outlined by Medicare guidelines. 5. In addition to these expectations by . supervising. primary care physicians and medical subspecialists, there are additional settings in which direct . supervision
[DOC File]Hospital/Critical Access Hospital (CAH)/End Stage Renal ...
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A pediatric hospital must be designated by the Centers for Medicare and Medicaid Services (CMS) as a children’s hospital that is exempt from Medicare’s prospective payment system. 201.120 Arkansas Medicaid Participation Requirements for Arkansas State-Operated Teaching Hospitals 8-1-05 A hospital is an Arkansas State-Operated Teaching ...
[DOC File]Audit Handbook
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Teaching Physician Rules: Medicare requires that the Teaching Physician must be present or personally view the service with the Resident through one-way mirror or current time video monitoring. Note: Some payers, including NE Medicaid do not require presence of the Teaching Physician during the psychotherapy session.
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