Endoscopy Procedures. For procedures performed through an endoscope (other than endoscopic operations, when the endoscopy performed is not the key portion of the surgical procedure), the teaching physician must be present during the entire viewing. The entire viewing includes the period of insertion through removal of the device. Viewing of the entire procedure through a monitor in another room does not meet the teaching-physician-presence requirement. Obstetrics. To be paid for the procedure, the teaching physician must be present for the delivery. In situations in which the teaching physician's only involvement was at the time of delivery, he or she may bill for the delivery only. To be paid for the global procedures, the teaching physician must be physically present, in accordance with the general requirements above and applicable program requirements. Anesthesia Services. If a teaching anesthesiologist is involved in a procedure with a resident, or with a resident and a non-physician anesthetist, the teaching physician must be present for induction and emergence. For any other portion of the anesthesia service, the teaching physician must be immediately, physically available to return to the procedure, as needed. The documentation in the medical records must indicate the teaching anesthesiologist’s presence and participation in the administration of the anesthesia. Radiology Services. The interpretation of diagnostic tests must be performed or reviewed by a teaching physician. If the teaching physician’s signature is the only signature on the interpretation, this indicates that he or she personally performed the interpretation. If a resident prepares and the interpretation, the teaching physician must indicate that he or she has personally reviewed both the image and the resident’s interpretation and either agrees with or edits the findings. The teaching physician’s countersignature alone is not acceptable documentation. (130 CMR 450.276 through 450.299 Reserved)
Endoscopy Procedures. For procedures performed through an endoscope (other than endoscopic operations, when the endoscopy performed is not the key portion of the surgical procedure), the teaching physician must be present during the entire viewing. The entire viewing includes the period of insertion through removal of the device. Viewing of the entire procedure through a monitor in another room does not meet the teaching-physician-presence requirement. Obstetrics. To be paid for the procedure, the teaching physician must be present for the delivery. In situations in which the teaching physician's only involvement was at the time of delivery, he or she may bill for the delivery only. To be paid for the global procedures, the teaching physician must be physically present, in accordance with the general requirements above and applicable program requirements. Anesthesia Services. If a teaching anesthesiologist is involved in a procedure with a resident, or with a resident and a non-physician anesthetist, the teaching physician must be present for induction and emergence. For any other portion of the anesthesia service, the teaching physician must be immediately, physically available to return to the procedure, as needed. The documentation in the medical records must indicate the teaching anesthesiologist’s presence and participation in the administration of the anesthesia. Radiology Services. The interpretation of diagnostic tests must be performed or reviewed by a teaching physician. If the teaching physician’s signature is the only signature on the interpretation, this indicates that he or she personally performed the interpretation. If a resident prepares and the interpretation, the teaching physician must indicate that he or she has personally reviewed both the image and the resident’s interpretation and either agrees with or edits the findings. The teaching physician’s countersignature alone is not acceptable documentation. (130 CMR 450.276 through 450.299 Reserved)
regs-allprovider.docx