In what scenario can a teaching physician bill Medicare for services provided by a resident?

In a teaching settings, Medicare has specific regulations that dictate when a teaching physician can bill for services provided by residents. The correct scenario is when the physician has personally seen and managed the patient. This requirement ensures that the teaching physician has a direct involvement in the patient's care, which is essential for the supervision and teaching relationship inherent in graduate medical education.

When the physician sees the patient and contributes to the management of their care, it demonstrates that the physician has taken responsibility for the patient's treatment plan and outcomes, which is a critical aspect of the billing process. This alignment with Medicare's guidelines validates the teaching physician's ability to bill for the services, as their involvement supports the quality of care being delivered.

Other options do not meet the necessary criteria. For example, having a resident who has only completed half of their training or merely reviewing their work does not fulfill the requirement for direct involvement. Additionally, while detailed notes by the resident can reflect their thoroughness and competence, they alone do not justify billing for the services without the physician's direct management of the patient.