What is the requirement for a teaching physician to bill for services when a resident is involved?

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For a teaching physician to bill for services when a resident is involved, it is essential that the teaching physician engages during key portions of the service. This requirement ensures that the physician actively participates in the care process, demonstrating their involvement and oversight in the patient's treatment. By engaging during critical moments, the teaching physician validates that they are directly supervising the resident's work and ensuring quality care.

This requirement aligns with best practices in medical education, where residents learn through practical training while being guided by experienced physicians. The teaching physician's engagement during key portions signifies their direct influence on the patient's care, which is necessary for proper billing. This involvement helps to ensure compliance with Medicare and other insurers' regulations regarding services provided in a teaching environment.

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